MEDICARE: LOVE OF GRACE ADULT SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	311ZA0620X	Adult Care Home Facility
3	311Z00000X	Custodial Care Facility
4	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1134709561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVE OF GRACE ADULT SERVICES

Provider Business Mailing Address
First Line	:	4556 N 41ST ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-5818
Country	:	US
Telephone Number	:	262-281-1574
Fax Number	:

Provider Business Practice Location Address
First Line	:	4556 N 41ST ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-5818
Country	:	US
Telephone Number	:	262-281-1574
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. TAMIA M FREEMAN
Credential	:
Telephone Number	:	800-796-0419

Provider Enumeration Date	:	04/09/2021
Last Update Date	:	04/09/2026

Similar Medicare Providers

1881701340 — DR. PAUL M MAES DO
Practice Location Address:

5818 W CAPITOL DR
MILWAUKEE, WI
53216-2247

Practice Phone: 414-449-2114
Practice Fax:

1558478099 — MS. SHARON A KRUKOWSKI APNP
Practice Location Address:

5818 W CAPITOL DR
MILWAUKEE, WI
53216-2247

Practice Phone: 414-449-2114
Practice Fax:

1851479349 — DR. WAYMAN PARKER MD
Practice Location Address:

5818 W CAPITOL DR
MILWAUKEE, WI
53216

Practice Phone: 414-449-2114
Practice Fax: 414-449-9299

1265596464 — DR. JOHN R. MOSER DDS
Practice Location Address:

219 N MILWAUKEE ST FL 5
MILWAUKEE, WI
53202-5818

Practice Phone: 414-273-9800
Practice Fax: 414-273-9807

1285788349 — THIRD WARD DENTAL, SC
Practice Location Address:

219 N MILWAUKEE ST FL 5
MILWAUKEE, WI
53202-5818

Practice Phone: 414-273-9800
Practice Fax: 414-273-9807

1558480574 — MR. SCOTT E STAMN PT
Practice Location Address:

5818 W CAPITOL DR
MILWAUKEE, WI
53216-2247

Practice Phone: 414-449-2114
Practice Fax: 414-449-9299

Directions to “LOVE OF GRACE ADULT SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.