MEDICARE: ADORE ADULT FAMILY HOME LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	311Z00000X	Custodial Care Facility
2	385H00000X	Respite Care
3	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1144117573
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADORE ADULT FAMILY HOME LLC

Provider Business Mailing Address
First Line	:	3248 N 81ST ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-3812
Country	:	US
Telephone Number	:	262-291-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3248 N 81ST ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-3812
Country	:	US
Telephone Number	:	262-291-1000
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR/ SOLE
Name	:	LAQUITTA DAMPEER
Credential	:	LPN
Telephone Number	:	262-291-1000

Provider Enumeration Date	:	06/19/2025
Last Update Date	:	01/17/2026

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Directions to “ADORE ADULT FAMILY HOME LLC ” Practice Location

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