Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 1 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

2ND CENTURY (0013598) MATT TALBOT RECOVERY SERVICES INC Type: CBRF ALCOHOL/DRUG DEPENDENT (414) 342-5474 Class: AA 2187 S 85TH ST PUBLIC FUNDING WEST ALLIS WI 53227 KARL RAJANI Gender - Capacity: F - 8 (414) 321-5936 ANTONIO DESHAZOR P O BOX 20007 Low/High rate: 3,285/4,250 County: MILWAUKEE GREENFIELD WI 53220 Initial License: 02/11/2011 A NURTURING HOME AWAY FROM HOME INC (0015887) MARY MITCHELL Type: CBRF ADVANCED AGED (414) 870-2207 Class: ANA 8225B N 107TH ST ALCOHOL/DRUG DEPENDENT MILWAUKEE WI 53224 MARY MITCHELL Gender - Capacity: M/F - 8 (414) 870-2207 LISA NETTERVILLE 8225B N 107TH ST Low/High rate: 4,000/5,000 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53224 Initial License: 01/23/2017 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TRAUMATIC BRAIN INJURY A PLACE FOR MIRACLES LIVING CENTER (0009870) A PLACE FOR MIRACLES LIVING CENTER INC Type: CBRF HCBS COMPLIANT (414) 788-3068 Class: CNA 5100 N 42ND ST ADVANCED AGED MILWAUKEE WI 53209 TONI HOWARD Gender - Capacity: M/F - 6 (414) 438-9433 TONI HOWARD PO BOX 242196 Low/High rate: 2,400/5,550 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53224 Initial License: 06/09/2003 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PUBLIC FUNDING A PLACE FOR MIRACLES LIVING CENTER II (0011085) A PLACE FOR MIRACLES LIVING CENTER INC Type: CBRF HCBS COMPLIANT (414) 788-3068 Class: CA 7022 N 43RD ST DEVELOPMENTALLY DISABLED MILWAUKEE WI 53209 TONI HOWARD Gender - Capacity: M/F - 7 (414) 438-9433 TONI HOWARD PO BOX 242196 Low/High rate: 2,415/3,500 County: MILWAUKEE MILWAUKEE WI 53224 Initial License: 03/30/2006 Association Approval: WALA A PLACE FOR MIRACLES LIVING CENTER III (0011885) A PLACE FOR MIRACLES LIVING CENTER III LLC Type: CBRF HCBS COMPLIANT (414) 788-3068 Class: CA 3927 W ROOSEVELT DR ADVANCED AGED MILWAUKEE WI 53216 TONI HOWARD Gender - Capacity: M/F - 6 (414) 444-0234 TONI HOWARD PO BOX 242196 Low/High rate: 2,700/3,500 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53224 Initial License: 05/01/2007 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PUBLIC FUNDING ABBYHAVEN (310658) GOLDEN CARE INC Type: CBRF HCBS COMPLIANT (262) 782-6068 Class: CS 4865 S 95TH ST ADVANCED AGED GREENFIELD WI 53228 DAN HOECHERL Gender - Capacity: M/F - 8 (414) 427-5432 DAN HOECHERL 4405 S DEERWOOD DR Low/High rate: 3,278/3,278 DEVELOPMENTALLY DISABLED County: MILWAUKEE NEW BERLIN WI 53151 Initial License: 10/09/1997 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED ABUNDANT LIFE MANOR (0011483) ABUNDANT LIFE MINISTRY INC Type: CBRF HCBS COMPLIANT (414) 962-3200 Class: CNA 1904 E BELLEVIEW PL ADVANCED AGED MILWAUKEE WI 53211 MARJORIE GLEESON Gender - Capacity: M/F - 42 (414) 962-3200 MARJORIE GLEESON 1904 E BELLEVIEW PL Low/High rate: 5,055/6,500 ALCOHOL/DRUG DEPENDENT County: MILWAUKEE MILWAUKEE WI 53211 Initial License: 05/10/2006 EMOTIONALLY DISTURBED/MENTAL

ABUNDANT LIFE MANOR WEST (0015578) ABUNDANT LIFE MINISTRY, INC Type: CBRF ADVANCED AGED (414) 962-3200 Class: CS 2354 N 120TH STREET EMOTIONALLY DISTURBED/MENTAL WAUWATOSA WI 53226 MARJORIE GLEESON Gender - Capacity: M/F - 8 MARJORIE GLEESON 1904 EAST BELLEVIEW PLACE Low/High rate: 5,050/6,000 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE MILWAUKEE WI 53211 Initial License: 07/01/2015 PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY ALEXIAN VILLAGE OF MILWAUKEE COURTYARD (310150) ALEXIAN VILLAGE OF MILWAUKEE INC Type: CBRF HCBS COMPLIANT (414) 355-9300 Class: CNA 9301 N 76TH ST ADVANCED AGED MILWAUKEE WI 53223 CARRIE HENSEL Gender - Capacity: M/F - 29 (414) 355-9300 CARRIE HENSEL 9301 N 76TH ST Low/High rate: 5,800/8,350 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE MILWAUKEE WI 53223 Initial License: 12/01/1991 PUBLIC FUNDING Association Approval: WALA

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 2 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

ALEXIAN VILLAGE SQUARE (0008627) ALEXIAN VILLAGE OF MILWAUKEE INC Type: CBRF ADVANCED AGED (414) 355-9300 Class: CNA 9301 N 76TH ST IRREVERSIBLE DEMENTIA/ALZHEIM MILWAUKEE WI 53223 CARRIE HENSEL Gender - Capacity: M/F - 64 (414) 355-9300 CARRIE HENSEL 9301 N 76TH ST Low/High rate: 5,481/7,810 PUBLIC FUNDING County: MILWAUKEE MILWAUKEE WI 53223 Initial License: 07/22/1999 Association Approval: WALA AMEIRA ORCHIDS ASSISTED LIVING (0018396) CACHE JAMES BETTER LIVING LLC Type: CBRF ADVANCED AGED (414) 852-0938 Class: CNA 10401 WEST BRADLEY ROAD IRREVERSIBLE DEMENTIA/ALZHEIM MILWAUKEE WI 53224 ATIYAH NICHOLS Gender - Capacity: M/F - 25 (414) 852-0938 ATIYAH NICHOLS PO BOX 248 Low/High rate: 3,295/4,595 PHYSICALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53223 Initial License: 06/03/2021 TERMINALLY ILL ANCHORAGE HOMES II (0012095) L & L ANCHORAGE HOMES Type: CBRF HCBS COMPLIANT (414) 871-4272 Class: AS 3843 N 51ST BLVD ADVANCED AGED MILWAUKEE WI 53216 LUREAN SLOCUM Gender - Capacity: M/F - 7 (414) 445-7449 LUREAN SLOCUM 5340 W MELVINA ST Low/High rate: 2,750/3,415 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53216 Initial License: 05/01/2008 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PUBLIC FUNDING ANGELS HEARTH (0013961) BRYANT HOMES LLC Type: CBRF HCBS COMPLIANT (414) 241-7067 Class: CNA 3468 S 119TH ST ADVANCED AGED WEST ALLIS WI 53227 CANDACE DAHLKE Gender - Capacity: M/F - 8 (414) 727-0822 CANDACE DAHLKE 12501 W NEEDHAM DR Low/High rate: 0/3,333 DEVELOPMENTALLY DISABLED County: MILWAUKEE NEW BERLIN WI 53132 Initial License: 01/01/2012 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TERMINALLY ILL TRAUMATIC BRAIN INJURY Association Approval: WALA ARC MILWAUKEE WOMENS PROGRAM (0014817) ARC COMMUNITY SERVICES INC Type: CBRF ALCOHOL/DRUG DEPENDENT (608) 278-2300 Class: AA 1022 W MADISON STREET CORRECTIONAL CLIENTS MILWAUKEE WI 53204 KAREN KINSEY Gender - Capacity: F - 13 (414) 837-6054 CHARLESETTA JACKSON 2001 W BELTLINE HIGHWAY #102 Low/High rate: 3,961/3,961 County: MILWAUKEE MADISON WI 53713 Initial License: 05/27/2014

ARGONNE (0011364) DUNGARVIN WISCONSIN LLC Type: CBRF HCBS COMPLIANT (414) 443-1311 Class: CNA 9835 W ARGONNE DR DEVELOPMENTALLY DISABLED WAUWATOSA WI 53222 VALERIE HARMAN Gender - Capacity: F - 5 (414) 755-6840 MICHAEL LEO 10425 W NORTH AVE SUITE 330 Low/High rate: 393,957/5,832 PUBLIC FUNDING County: MILWAUKEE WAUWATOSA WI 53226 Initial License: 03/31/2006 ARIA WEST ALLIS (0018335) ARIA AT MITCHELL MANOR Type: CBRF ADVANCED AGED (847) 983-4860 Class: CNA 5301 W LINCOLN AVE IRREVERSIBLE DEMENTIA/ALZHEIM WEST ALLIS WI 53219 NETANEL BRANDMAN Gender - Capacity: M/F - 70 (414) 615-7100 SARAH STIB 8150 CENTRAL PARK Low/High rate: 150 TERMINALLY ILL County: MILWAUKEE SKOKIE IL 60076 Initial License: 12/17/2020 ARMSTEAD VENTURES LLC (0018235) ARMSTEAD VENTURES LLC Type: CBRF HCBS COMPLIANT (414) 839-8721 Class: AA 2877 NORTH 53RD STREET ADVANCED AGED MILWAUKEE WI 53210 ANGELINA HOWARD Gender - Capacity: M/F - 5 (414) 839-8721 ANGELINA HOWARD 2877 NORTH 53RD STREET Low/High rate: 3,500/15,000 ALCOHOL/DRUG DEPENDENT County: MILWAUKEE MILWAUKEE WI 53210 Initial License: 09/24/2020 DEVELOPMENTALLY DISABLED EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED AT HOME LIVING (0018108) AT HOME LIVING Type: CBRF HCBS COMPLIANT (414) 406-3294 Class: AA 2339 NORTH 60TH STREET ADVANCED AGED WAUWATOSA WI 53210 APRIL JUETT Gender - Capacity: M/F - 8 (414) 406-3294 APRIL JUETT PO BOX 785 Low/High rate: 3,100/4,500 DEVELOPMENTALLY DISABLED County: MILWAUKEE WAUWATOSA WI 53052 Initial License: 06/18/2020 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM TRAUMATIC BRAIN INJURY *The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 3 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

AUTUMN CREEK CQS LLC (0014863) AUTUMN CREEK CQS, LLC Type: CBRF HCBS COMPLIANT (414) 397-4176 Class: CS 8035 S CECILY DRIVE ADVANCED AGED OAK CREEK WI 53154 BRIAN SCHOENLEBER Gender - Capacity: M/F - 8 BRIAN SCHOENLEBER 8035 S CECILY DRIVE Low/High rate: 2,900/3,500 DEVELOPMENTALLY DISABLED County: MILWAUKEE OAK CREEK WI 53154 Initial License: 12/18/2013 IRREVERSIBLE DEMENTIA/ALZHEIM

AUTUMN CREEK II CQS LLC (0016326) AUTUMN CREEK II CQS LLC Type: CBRF ADVANCED AGED (414) 397-4176 Class: ANA 1326 WILLOW DR DEVELOPMENTALLY DISABLED OAK CREEK WI 53154 MICHAEL QUARTANA Gender - Capacity: M/F - 20 (414) 397-4176 BRIAN SCHOENLEBER 1326 W WILLOW DR Low/High rate: EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE OAK CREEK WI 53154 Initial License: 10/13/2016 PHYSICALLY DISABLED AUTUMN LEAVES OF FRANKLIN (0017045) FRANKLIN PSH TENANT LLC Type: CBRF IRREVERSIBLE DEMENTIA/ALZHEIM 9201 W DREXEL AVE (214) 845-4500 Class: CNA FRANKLIN WI 53132 AMBER POMPA Gender - Capacity: M/F - 60 (414) 377-9536 Sheila Butler 1900 Enchanted Way Suite 200 Low/High rate: 6,160/7,750 County: MILWAUKEE Grapevine TX 76051 Initial License: 09/13/2018 AUTUMN LIVING SOUTH (0010953) AUTUMN LIVING INC Type: CBRF HCBS COMPLIANT (414) 397-4176 Class: AS 4340 S 116TH ST ADVANCED AGED GREENFIELD WI 53228 ALLEN SCHOENLEBER Gender - Capacity: M/F - 8 (414) 708-5679 LAUREN BALTZ PO BOX 182 Low/High rate: 3,275/3,700 DEVELOPMENTALLY DISABLED County: MILWAUKEE HALES CORNERS WI 53130 Initial License: 06/22/2005 PUBLIC FUNDING AUTUMN OAKES (0015228) AUTUMN OAKES INC Type: CBRF HCBS COMPLIANT (262) 498-3098 Class: CNA 1110 W OAKWOOD RD ADVANCED AGED OAK CREEK WI 53154 BETH DESAI Gender - Capacity: M/F - 8 (414) 766-0915 BETH DESAI 1110 W OAKWOOD RD Low/High rate: 3,400/3,800 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE OAK CREEK WI 53154 Initial License: 09/22/2014 PUBLIC FUNDING

AZURA MEMORY CARE OF FOX POINT (0018262) AZURA FOX POINT LLC Type: CBRF HCBS COMPLIANT (303) 909-4081 Class: CNA 7770 NORTH PORT WASHINGTON RD ADVANCED AGED FOX POINT WI 53217 EMILY LANCASTER Gender - Capacity: M/F - 88 (414) 255-4605 EMILY LANCASTER 1233 NORTH MAYFAIR ROAD 301 Low/High rate: 6,000/9,900 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE MILWAUKEE WI 53226 Initial License: 11/02/2020 TERMINALLY ILL AZURA MEMORY CARE OF OAK CREEK (0016675) AZURA OAK CREEK LLC Type: CBRF HCBS COMPLIANT (303) 909-4081 Class: CNA 8772 S MAYHEW DR ADVANCED AGED OAK CREEK WI 53154 JILL KREIDER Gender - Capacity: M/F - 24 EGRISELDA TUJANI 1233 MAYFAIR RD STE 301 Low/High rate: 4,950/9,075 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE MILWAUKEE WI 53226 Initial License: 07/27/2017 AZURA MEMORY CARE OF OAK CREEK II (0016676) AZURA OAK CREEK II LLC Type: CBRF HCBS COMPLIANT (303) 909-4081 Class: CNA 8774 S MAYHEW DR ADVANCED AGED OAK CREEK WI 53154 JILL KREIDER Gender - Capacity: M/F - 24 EGRISELDA TUJANI 1233 MAYFAIR RD STE 301 Low/High rate: 4,600/8,550 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE MILWAUKEE WI 53226 Initial License: 09/20/2017 BARNETT HOUSE (0015010) MCFI dba WHOLE HEALTH CLINICAL GROUP Type: CBRF HCBS COMPLIANT (414) 459-3014 Class: AA 2466 N 50TH STREET EMOTIONALLY DISTURBED/MENTAL MILWAUKEE WI 53210 JORDAN FARNAND Gender - Capacity: M - 12 (414) 459-3014 JORDAN FARNAND 932 S 60TH STREET Low/High rate: 3,537/3,537 County: MILWAUKEE MILWAUKEE WI 53214 Initial License: 08/07/2014 Association Approval: WALA BAYSIDE GROUP HOME (0018245) SABER GROUP HOMES Type: CBRF HCBS COMPLIANT (414) 214-8207 Class: CS 8820 N REXLEIGH DR ADVANCED AGED BAYSIDE WI 53217 SARA IZGELOV Gender - Capacity: M/F - 8 (414) 514-8207 SARA IZGELOV 3240 N 52ND ST Low/High rate: 2,500/8,000 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53216 Initial License: 12/01/2020 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 4 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

BELL THERAPY BELWOOD (0010783) PHOENIX CARE SYSTEMS INC Type: CBRF HCBS COMPLIANT (414) 527-6970 Class: CS 5151 W SILVER SPRING DR DEVELOPMENTALLY DISABLED MILWAUKEE WI 53218-3300 JESSICA ZOCH Gender - Capacity: M/F - 46 (414) 527-6970 JESSICA ZOCH 5555 N 51ST BLVD Low/High rate: 5,082/5,626 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE MILWAUKEE WI 53218-3300 Initial License: 09/22/2005 PUBLIC FUNDING

BELL THERAPY BELWOOD VIII MARTIN CBRF (310134) PHOENIX CARE SYSTEMS INC Type: CBRF EMOTIONALLY DISTURBED/MENTAL 1141 N 46TH ST (414) 527-6970 Class: AA MILWAUKEE WI 53208 JESSICA ZOCH Gender - Capacity: M/F - 8 (414) 527-6970 JESSICA ZOCH 5555 51ST BLVD Low/High rate: 3,104/3,104 County: MILWAUKEE MILWAUKEE WI 53218 Initial License: 06/10/1991

BELL THERAPY BLUEMOUND (310038) PHOENIX CARE SYSTEMS INC Type: CBRF HCBS COMPLIANT (414) 527-6970 Class: AA 101 N 75TH ST DEVELOPMENTALLY DISABLED MILWAUKEE WI 53213 JESSICA ZOCH Gender - Capacity: M/F - 8 (414) 527-6970 JESSICA ZOCH 5555 N 51ST BLVD Low/High rate: 3,100/4,000 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE MILWAUKEE WI 53218 Initial License: 11/01/1984

BELL THERAPY CHAMBERS (310079) PHOENIX CARE SYSTEMS INC Type: CBRF HCBS COMPLIANT (414) 527-6970 Class: AA 6328 W CHAMBERS ST DEVELOPMENTALLY DISABLED MILWAUKEE WI 53210 JESSICA ZOCH Gender - Capacity: M/F - 8 (414) 527-6970 JESSICA ZOCH 5555 N 51ST BLVD Low/High rate: 3,109/3,968 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE MILWAUKEE WI 53218-3300 Initial License: 01/01/1988

BELL THERAPY CONGRESS (310059) PHOENIX CARE SYSTEMS INC Type: CBRF HCBS COMPLIANT (414) 527-6970 Class: AA 6333 W CONGRESS ST DEVELOPMENTALLY DISABLED MILWAUKEE WI 53218 JESSICA ZOCH Gender - Capacity: M/F - 8 (414) 527-6970 JESSICA ZOCH 5555 N 51 ST BLVD Low/High rate: 2,704/3,844 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE MILWAUKEE WI 53218-3300 Initial License: 10/31/1984

BELL THERAPY FLORIST (0009565) PHOENIX CARE SYSTEMS INC Type: CBRF HCBS COMPLIANT (414) 527-6970 Class: AA 7401 W FLORIST AVE ADVANCED AGED MILWAUKEE WI 53218 JESSICA ZOCH Gender - Capacity: M/F - 8 (414) 527-6970 JESSICA ZOCH 5555 N 51st Blvd Low/High rate: 4,115/4,556 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53218-3300 Initial License: 04/23/2002 EMOTIONALLY DISTURBED/MENTAL

BELL THERAPY HAMPTON (310104) PHOENIX CARE SYSTEMS INC Type: CBRF HCBS COMPLIANT (414) 527-6970 Class: CA 4901 N 106TH ST DEVELOPMENTALLY DISABLED MILWAUKEE WI 53225 JESSICA ZOCH Gender - Capacity: M/F - 8 (414) 527-6970 JESSICA ZOCH 5555 N 51ST BLVD Low/High rate: 4,300/4,300 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE MILWAUKEE WI 53218 Initial License: 11/21/1988

BELL THERAPY KEEFE (310295) PHOENIX CARE SYSTEMS INC Type: CBRF HCBS COMPLIANT (414) 527-6970 Class: AA 6105 W KEEFE AVE PKWY ADVANCED AGED MILWAUKEE WI 53216 JULIA WARZYNSKI Gender - Capacity: M/F - 6 (414) 447-7566 JESSICA ZOCH 5555 N 51ST BLVD Low/High rate: 4,570/5,882 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53218-3300 Initial License: 03/31/1996 EMOTIONALLY DISTURBED/MENTAL

BELL THERAPY KIEHNAU (0011199) PHOENIX CARE SYSTEMS INC Type: CBRF HCBS COMPLIANT (414) 527-6970 Class: CA 10133 10135 W KIEHNAU AVE DEVELOPMENTALLY DISABLED MILWAUKEE WI 53224 JESSICA ZOCH Gender - Capacity: M/F - 8 (414) 527-6970 JESSICA ZOCH 5555 N 51 ST BLVD Low/High rate: 5,009/5,009 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE MILWAUKEE WI 53218 Initial License: 12/12/2005

BELL THERAPY KINNICKINNIC (KK) (0009000) PHOENIX CARE SYSTEMS INC Type: CBRF HCBS COMPLIANT (414) 527-6970 Class: CA 2858 S 68TH ST DEVELOPMENTALLY DISABLED MILWAUKEE WI 53219 JESSICA ZOCH Gender - Capacity: M - 5 (414) 527-6970 JESSICA ZOCH 5555 N 51 ST BLVD Low/High rate: 4,966/5,577 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE MILWAUKEE WI 53218-3300 Initial License: 06/26/2000

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 5 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

BELL THERAPY SILVERLAWN (0012049) PHOENIX CARE SYSTEMS INC Type: CBRF DEVELOPMENTALLY DISABLED (414) 527-6970 Class: AA 5554-5556 N 57TH ST EMOTIONALLY DISTURBED/MENTAL MILWAUKEE WI 53218 JESSICA ZOCH Gender - Capacity: M/F - 8 (414) 527-6970 JESSICA ZOCH 5555 N 51ST BLVD Low/High rate: 2,908/2,908 County: MILWAUKEE MILWAUKEE WI 53218 Initial License: 10/01/2005

BELL THERAPY THURSTON (0008680) PHOENIX CARE SYSTEMS INC Type: CBRF HCBS COMPLIANT (414) 527-6970 Class: AA 5734 N 94TH ST DEVELOPMENTALLY DISABLED MILWAUKEE WI 53225 JESSICA ZOCH Gender - Capacity: M/F - 8 (414) 527-6970 JESSICA ZOCH 5555 N 51ST BLVD Low/High rate: 11,599/12,399 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE MILWAUKEE WI 53218 Initial License: 08/06/1999

BELL THERAPY UNDERWOOD (0009082) PHOENIX CARE SYSTEMS INC Type: CBRF HCBS COMPLIANT (414) 527-6970 Class: AA 3146 E UNDERWOOD AVE EMOTIONALLY DISTURBED/MENTAL CUDAHY WI 53110 JESSICA ZOCH Gender - Capacity: M/F - 8 (414) 527-6970 JESSICA ZOCH 5555 N 51ST BLVD Low/High rate: 4,747/5,256 PUBLIC FUNDING County: MILWAUKEE MILWAUKEE WI 53218 Initial License: 09/15/2000

BERGEN MANOR CBRF (0017968) BERGEN MANOR LLC Type: CBRF HCBS COMPLIANT (414) 745-3053 Class: CNA 522 WEST BERGEN DRIVE ADVANCED AGED FOX POINT WI 53217 MICHAEL ROGINSKIY Gender - Capacity: M/F - 8 (888) 484-7566 MICHAEL ROGINSKIY PO BOX 242444 Low/High rate: 3,500/7,000 ALCOHOL/DRUG DEPENDENT County: MILWAUKEE MILWAUKEE WI 53224 Initial License: 01/23/2020 DEVELOPMENTALLY DISABLED EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY BREATH OF LIFE RESIDENCE (0012232) LATRESHA A ROBINSON RN Type: CBRF HCBS COMPLIANT (414) 736-9775 Class: CS 4072-4074 N 64TH ST ADVANCED AGED MILWAUKEE WI 53216-0000 LATRESHA A ROBINSON RN Gender - Capacity: M/F - 7 (414) 461-9378 LATRESHA A ROBINSON RN 4074 N 64TH STREET Low/High rate: 3,500/4,000 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53216 Initial License: 02/22/2008 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TRAUMATIC BRAIN INJURY BRENWOOD PARK ASSISTED LIVING (0015615) BRENWOOD PARK SENIOR LIVING INC Type: CBRF HCBS COMPLIANT (414) 448-0800 Class: CNA 9535 W LOOMIS RD ADVANCED AGED FRANKLIN WI 53132 LEE JOHNSON Gender - Capacity: M/F - 50 (262) 255-2557 JEANIE BROGNI 1675 E Riverside Dr.SUite 150 Low/High rate: 2,097/4,895 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE Eagle ID 83616 Initial License: 08/01/2015 PUBLIC FUNDING BRIGHT CARE (0017574) BRIGHT CARE LLC Type: CBRF HCBS COMPLIANT (630) 202-2539 Class: CNA 9035 N 97TH ST ADVANCED AGED MILWAUKEE WI 53224 TAOUFIK TONY LAHRACHE Gender - Capacity: M/F - 28 (414) 368-3311 TAOUFIK TONY LAHRACHE 1617 DOVER DRIVE UNIT 14 Low/High rate: 3,700/5,500 DEVELOPMENTALLY DISABLED County: MILWAUKEE WAUKESHA WI 53186 Initial License: 08/01/2019 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED BROTOLOC FRANKLIN (0013104) BROTOLOC SOUTH INC Type: CBRF HCBS COMPLIANT (414) 423-9904 Class: ANA 9460 S 46TH ST ADVANCED AGED FRANKLIN WI 53132 CHRISTOPHER COHEN Gender - Capacity: M/F - 6 (414) 423-9904 JESSIE OBERHOFER 209 S TAFT ST Low/High rate: 4,563/9,125 DEVELOPMENTALLY DISABLED County: MILWAUKEE WHITEWATER WI 53190 Initial License: 02/05/2010 EMOTIONALLY DISTURBED/MENTAL PHYSICALLY DISABLED PUBLIC FUNDING TRAUMATIC BRAIN INJURY

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 6 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

BROTOLOC GREENFIELD (0013102) BROTOLOC SOUTH INC Type: CBRF HCBS COMPLIANT (262) 473-0480 Class: ANA 3826 S 36TH ST ADVANCED AGED GREENFIELD WI 53221 CHRISTOPHER COHEN Gender - Capacity: M/F - 7 (414) 325-0741 Jessie Oberhofer 209 S TAFT ST Low/High rate: 4,563/9,125 DEVELOPMENTALLY DISABLED County: MILWAUKEE WHITEWATER WI 53190 Initial License: 02/05/2010 EMOTIONALLY DISTURBED/MENTAL PHYSICALLY DISABLED PUBLIC FUNDING TRAUMATIC BRAIN INJURY

BROTOLOC WEST ALLIS (0013103) BROTOLOC SOUTH INC Type: CBRF HCBS COMPLIANT (262) 473-0480 Class: AA 2355 S 68TH ST ADVANCED AGED WEST ALLIS WI 53219 CHRISTOPHER COHEN Gender - Capacity: M/F - 6 (414) 329-8403 Jessie Oberhofer 209 S TAFT ST Low/High rate: 4,563/9,125 DEVELOPMENTALLY DISABLED County: MILWAUKEE WHITEWATER WI 53190 Initial License: 02/05/2010 EMOTIONALLY DISTURBED/MENTAL PUBLIC FUNDING TRAUMATIC BRAIN INJURY

BURLEIGH HOUSE (0015155) MCFI dba WHOLE HEALTH CLINICAL GROUP Type: CBRF HCBS COMPLIANT (414) 459-3014 Class: AA 8221 W BURLEIGH STREET EMOTIONALLY DISTURBED/MENTAL MILWAUKEE WI 53222 JORDAN FARNAND Gender - Capacity: F - 8 (414) 459-3014 JORDAN FARNAND 932 S 60TH STREET Low/High rate: 4,429/4,429 County: MILWAUKEE MILWAUKEE WI 53214 Initial License: 07/28/2014 Association Approval: WALA CALUMET CORNERS I (0018512) BROADSTEP WISCONSIN INC Type: CBRF ADVANCED AGED (414) 640-9010 Class: CNA 10730 WEST CALUMET ROAD DEVELOPMENTALLY DISABLED MILWAUKEE WI 53224 JESSICA ZOCH Gender - Capacity: M/F - 8 (414) 358-2578 JESSICA ZOCH 1205 SOUTH 70TH STREET Low/High rate: EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE WEST ALLIS WI 53214 Initial License: 06/01/2021 PHYSICALLY DISABLED TRAUMATIC BRAIN INJURY CAMBRIDGE CASTLE (0015544) CASTLE SENIOR LIVING, INC. Type: CBRF ADVANCED AGED (414) 427-1655 Class: CNA 3531 W GRANGE AVENUE ALCOHOL/DRUG DEPENDENT MILWAUKEE WI 53221 MICHELLE GREEN Gender - Capacity: M/F - 8 (414) 930-4328 MICHELLE GREEN 13050 W Cleveland Ave Low/High rate: 4,500/6,200 DEVELOPMENTALLY DISABLED County: MILWAUKEE New Berlin WI 53151 Initial License: 08/26/2015 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY CAMELOT CASTLE (0015518) Castle Senior Living Inc Type: CBRF HCBS COMPLIANT (414) 427-1655 Class: CS 4900 S 68th Street ADVANCED AGED Greenfield WI 53220 Kristopher Kiefer Gender - Capacity: M/F - 8 (414) 817-9188 MICHELLE GREEN 4900 S 68th Street Low/High rate: 3,800/5,000 DEVELOPMENTALLY DISABLED County: MILWAUKEE Greenfield WI 53220 Initial License: 02/19/2015 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY CASTLE GARDENS (0015521) Castle Senior Living Inc Type: CBRF HCBS COMPLIANT (414) 427-1655 Class: CS 5900 S. 92nd Street ADVANCED AGED Hales Corners WI 53130 MICHELLE GREEN Gender - Capacity: M/F - 8 (414) 529-8558 MICHELLE GREEN 13050 W Cleveland Low/High rate: 3,800/5,700 DEVELOPMENTALLY DISABLED County: MILWAUKEE New Berlin WI 53151 Initial License: 02/19/2015 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 7 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

CASTLE RIDGE (0015523) Castle Senior Living Inc Type: CBRF HCBS COMPLIANT (414) 427-1655 Class: CNA 10133 Brookside Drive ADVANCED AGED Hales Corners WI 53130 DIANA HOWELL Gender - Capacity: M/F - 8 (414) 427-9344 DIANA HOWELL 13050 W CLEVELAND AVE Low/High rate: 4,200/5,000 DEVELOPMENTALLY DISABLED County: MILWAUKEE NEW BERLIN WI 53151 Initial License: 02/19/2015 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY CCLS - BRADLEY (310090) CREATIVE COMMUNITY LIVING SERVICES INC Type: CBRF HCBS COMPLIANT (920) 261-1345 Class: CNA 8010 N 51ST ST DEVELOPMENTALLY DISABLED BROWN DEER WI 53223 JIM ZACHE Gender - Capacity: M/F - 6 (414) 355-1432 RICHARD CZERWAN 314 E MAIN ST Low/High rate: 1,861/5,433 PUBLIC FUNDING County: MILWAUKEE WATERTOWN WI 53094 Initial License: 01/31/1982 CHAI POINT ASSISTED LIVING (310190) PROSPECT CONGREGATE HOUSING INC Type: CBRF ADVANCED AGED (414) 289-9600 Class: CNA 1400 N PROSPECT AVE PUBLIC FUNDING MILWAUKEE WI 53202 TRISH COHN Gender - Capacity: M/F - 38 (414) 289-9600 TRISH COHN 1400 N PROSPECT AVE Low/High rate: 4,849/5,334 County: MILWAUKEE MILWAUKEE WI 53202 Initial License: 03/28/1994 Association Approval: LeadingAge Wisconsin CLEMENT MANOR INC (0016468) CLEMENT MANOR INC Type: CBRF ADVANCED AGED (414) 321-1800 Class: CNA 3939 S 92ND STREET IRREVERSIBLE DEMENTIA/ALZHEIM GREENFIELD WI 53228 DENNIS FERGER Gender - Capacity: M/F - 47 (414) 321-1800 THOMAS SCHULZ 3939 S 92ND STREET Low/High rate: 5,000/6,000 County: MILWAUKEE GREENFIELD WI 53228 Initial License: 04/06/2017 CLIFDEN COURT EAST (0016973) SHA MSL GREENDALE LLC Type: CBRF ADVANCED AGED (312) 623-0884 Class: CNA 6751 S 68TH ST IRREVERSIBLE DEMENTIA/ALZHEIM FRANKLIN WI 53132 THOMAS OSTROM Gender - Capacity: M/F - 24 (414) 858-7000 ROTH WEAVER 101 N WACKER DRIVE STE 616 Low/High rate: 3,000/8,000 PHYSICALLY DISABLED County: MILWAUKEE CHICAGO IL 60606 Initial License: 04/19/2018 TERMINALLY ILL CLIFDEN COURT NORTH (0016972) SHA MSL GREENDALE LLC Type: CBRF ADVANCED AGED (312) 623-0884 Class: CNA 6801 W LOOMIS RD IRREVERSIBLE DEMENTIA/ALZHEIM GREENDALE WI 53129 THOMAS OSTROM Gender - Capacity: M/F - 68 (414) 858-0700 CAROLYN JOHNSON 101 NORTH WACKER DRIVE STE 616 Low/High rate: 3,000/8,000 PHYSICALLY DISABLED County: MILWAUKEE CHICAGO IL 60606 Initial License: 04/19/2018 TERMINALLY ILL CLIFDEN COURT WEST (0016974) SHA MSL GREENDALE LLC Type: CBRF ADVANCED AGED (312) 623-0884 Class: CNA 6771 S 68TH ST IRREVERSIBLE DEMENTIA/ALZHEIM FRANKLIN WI 53132 THOMAS OSTROM Gender - Capacity: M/F - 33 (414) 858-7000 ROTH WEAVER 101 NORTH WACKER DRIVE STE 616 Low/High rate: 3,000/8,000 PHYSICALLY DISABLED County: MILWAUKEE CHICAGO IL 60606 Initial License: 04/19/2018 TERMINALLY ILL CLOSE TO HOME SENIOR LIVING - BLUEMOUND HOME (0 CLOSE TO HOME SENIOR LIVING FACILITIES LLC Type: CBRF ADVANCED AGED (708) 790-0546 Class: CNA 12231 W BLUEMOUND ROAD DEVELOPMENTALLY DISABLED WAUWATOSA WI 53226 JOVE CASTILLO Gender - Capacity: M/F - 20 (414) 302-9400 JOVE CASTILLO 12231 W BLUEMOUND ROAD Low/High rate: 3,100/5,700 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE WAUWATOSA WI 53226 Initial License: 01/18/2019 IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING CLOSE TO HOME SENIOR LIVING - GRANTOSA HOME (00 CLOSE TO HOME SENIOR LIVING FACILITIES LLC Type: CBRF ADVANCED AGED (708) 790-0546 Class: CS 4265 N 104TH STREET DEVELOPMENTALLY DISABLED MILWAUKEE WI 53222 JOVE CASTILLO Gender - Capacity: M/F - 20 (414) 461-2300 JOVE CASTILLO 4265 N 104TH STREET Low/High rate: 3,100/5,700 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE MILWAUKEE WI 53222 Initial License: 01/18/2019 IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 8 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

CONGRESS PLACE (0013291) ABSOLUTE HOME CARE LLC Type: CBRF HCBS COMPLIANT (414) 745-3053 Class: ANA 9025 W CONGRESS ST ADVANCED AGED MILWAUKEE WI 53225 MICHAEL ROGINSKIY Gender - Capacity: M/F - 8 (414) 745-3053 LUCAS SANDERS P O BOX 242444 Low/High rate: 2,950/6,500 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53224 Initial License: 09/28/2010 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING COUNTRY VIEW (0011567) GOLDEN OAK CREST LLC Type: CBRF HCBS COMPLIANT (414) 764-3303 Class: CNA 10507 S CHICAGO AVE ADVANCED AGED OAK CREEK WI 53154 JOHN TERESINSKI Gender - Capacity: M/F - 50 (414) 764-3303 TARA HUSEMANN 2448 S 102nd St Suite 305 Low/High rate: 3,000/4,600 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE West Allis WI 53045 Initial License: 08/29/2006 IRREVERSIBLE DEMENTIA/ALZHEIM PUBLIC FUNDING

CREATIVE LIVING ENVIRONMENTS - BAYSIDE (0015802) CREATIVE LIVING ENVIRONMENTS LLC Type: CBRF ADVANCED AGED (920) 261-1345 Class: CNA 225 E BROWN DEER RD EMOTIONALLY DISTURBED/MENTAL BAYSIDE WI 53217 JIM ZACHE Gender - Capacity: M/F - 20 (414) 540-2324 TENISHA LOVE 314 E MAIN ST Low/High rate: 3,496/5,000 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE WATERTOWN WI 53094 Initial License: 10/19/2015 PHYSICALLY DISABLED PUBLIC FUNDING TERMINALLY ILL CREATIVE LIVING ENVIRONMENTS LAYTON COURT (0012 CREATIVE LIVING ENVIRONMENTS LLC Type: CBRF HCBS COMPLIANT (920) 261-1345 Class: AS 12320 W LAYTON AVE ADVANCED AGED GREENFIELD WI 53228 KATHRYN BERGEN Gender - Capacity: M/F - 8 (414) 425-8777 TENISHA LOVE 314 E MAIN ST Low/High rate: 3,037/3,400 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE WATERTOWN WI 53094 Initial License: 10/10/2008 IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING Association Approval: DSPN CREEK SIDE MANOR (0012788) CARING ALTERNATIVES LLC Type: CBRF HCBS COMPLIANT (414) 305-9533 Class: CNA 8841 S 13TH ST ADVANCED AGED OAK CREEK WI 53154 WENDY SIEVERT Gender - Capacity: M/F - 23 (414) 764-1970 WENDY SIEVERT PO BOX 308 Low/High rate: 3,400/4,950 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE OAK CREEK WI 53154 Initial License: 06/17/2009 PUBLIC FUNDING Association Approval: WALA CREEK SIDE TERRACE (0013958) CARING ALTERNATIVES LLC Type: CBRF HCBS COMPLIANT (414) 305-9533 Class: CNA 8861 S 13TH ST ADVANCED AGED OAK CREEK WI 53154 WENDY SIEVERT Gender - Capacity: M/F - 29 (414) 856-9300 WENDY SIEVERT P.O. BOX 308 Low/High rate: 3,400/6,450 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE OAK CREEK WI 53154 Initial License: 12/12/2011 Association Approval: WALA CRISIS RESOURCE CENTER (0015203) MCFI dba WHOLE HEALTH CLINICAL GROUP Type: CBRF HCBS COMPLIANT (414) 459-3014 Class: AA 2057 S 14TH STREET EMOTIONALLY DISTURBED/MENTAL MILWAUKEE WI 53204 DAN BAKER Gender - Capacity: M/F - 15 (414) 449-9891 DAN BAKER 2057 S 14TH STREET Low/High rate: 5,952/13,687 PUBLIC FUNDING County: MILWAUKEE MILWAUKEE WI 53204 Initial License: 11/06/2014

CRU GROUP HOME BAYSIDE MANOR (0009511) GALINA DONETS Type: CBRF HCBS COMPLIANT (414) 351-5430 Class: CNA 9010 N PORT WASHINGTON RD ADVANCED AGED BAYSIDE WI 53217 GALINA DONETS Gender - Capacity: M/F - 8 (414) 247-3763 GALINA DONETS 1125 LAKE COOK ROAD Low/High rate: 3,500/4,500 DEVELOPMENTALLY DISABLED County: MILWAUKEE NORTHBROOK IL 60062 Initial License: 09/11/2002 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 9 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

CRU GROUP HOME BAYSIDE MANOR II (0010524) GALINA DONETS Type: CBRF HCBS COMPLIANT (312) 823-3216 Class: CNA 9020 N PORT WASHINGTON RD ADVANCED AGED BAYSIDE WI 53217 GALINA DONETS Gender - Capacity: M/F - 8 (414) 247-1726 GALINA DONETS 1125 LAKE COOK ROAD Low/High rate: 3,500/4,500 DEVELOPMENTALLY DISABLED County: MILWAUKEE NORTHBROOK IL 60062 Initial License: 04/25/2004 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED CRU GROUP HOME INC BROWN DEER MANOR (0012325 CRU GROUP HOME INC Type: CBRF HCBS COMPLIANT (414) 247-1726 Class: CNA 8238 N 44TH ST ADVANCED AGED BROWN DEER WI 53209 GALINA DONETS Gender - Capacity: M/F - 8 (414) 247-1426 GALINA DONETS 1125 LAKE COOK ROAD Low/High rate: 3,500/4,500 DEVELOPMENTALLY DISABLED County: MILWAUKEE NORTHBROOK IL 60062 Initial License: 05/22/2008 IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING CUDAHY PLACE (0016798) CUDAHY PLACE SENIOR LIVING LLC Type: CBRF ADVANCED AGED (312) 462-4462 Class: CNA 3460 E BARNARD AVE IRREVERSIBLE DEMENTIA/ALZHEIM CUDAHY WI 53110 THOMAS OSTROM Gender - Capacity: M/F - 48 (414) 258-9955 MEREDITH HUMPHREY 101 N WACKER DRIVE STE 616 Low/High rate: 3,000/7,000 PHYSICALLY DISABLED County: MILWAUKEE CHICAGO IL 60606 Initial License: 03/01/2019 TERMINALLY ILL DEWEY CENTER OF AURORA PSYCHIATRIC HOSPITAL (0 AURORA PSYCHIATRIC HOSPITAL Type: CBRF ALCOHOL/DRUG DEPENDENT 1220 DEWEY AVE 11 (414) 454-6473 Class: AS WAUWATOSA WI 53213 PETE CARLSON Gender - Capacity: M/F - 30 (414) 454-6576 PETE CARLSON 1220 DEWEY AVE 11 Low/High rate: 3,900/18,500 County: MILWAUKEE WAUWATOSA WI 53213 Initial License: 07/23/2018 DUNGARVIN WI N 87TH (0013957) DUNGARVIN WISCONSIN LLC Type: CBRF HCBS COMPLIANT (414) 443-1311 Class: CNA 4501 N 87TH ST DEVELOPMENTALLY DISABLED MILWAUKEE WI 53225 VALERIE HARMAN Gender - Capacity: M/F - 7 (414) 462-3839 MICHAEL LEO 10425 W NORTH AVE STE 330 Low/High rate: 23,991/23,991 PHYSICALLY DISABLED County: MILWAUKEE WAUWATOSA WI 53226 Initial License: 04/03/2012 PUBLIC FUNDING EASTCASTLE PLACE (0011864) EASTCASTLE PLACE Type: CBRF ADVANCED AGED (414) 963-6151 Class: CNA 2429 E BRADFORD AVE IRREVERSIBLE DEMENTIA/ALZHEIM MILWAUKEE WI 53211 TYLER GUDEX Gender - Capacity: M/F - 18 (414) 963-6151 TYLER GUDEX 2429 E BRADFORD AVE Low/High rate: 5,964/6,603 County: MILWAUKEE MILWAUKEE WI 53211 Initial License: 06/14/2007 Association Approval: LeadingAge Wisconsin EASY LIVING SENIOR HOME (0017110) EASY LIVING SENIOR HOME LLC Type: CBRF HCBS COMPLIANT (414) 702-5573 Class: AA 1904 N 59TH ST ADVANCED AGED MILWAUKEE WI 53208 CARMEN MARTIN Gender - Capacity: M/F - 7 (414) 702-5573 CARMEN MARTIN 7414 W HAMPTON Low/High rate: 4,500/5,000 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53218 Initial License: 06/24/2020 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY ELAINES HOPE MEMORY CARE (0017594) THE LUTHERAN HOME INC Type: CBRF HCBS COMPLIANT (414) 258-6170 Class: CNA 7500 W NORTH AVE ADVANCED AGED WAUWATOSA WI 53213 DYONNE WILHELM Gender - Capacity: M/F - 72 (414) 258-6171 DYONNE WILHELM 7500 W NORTH AVE Low/High rate: 7,100/9,300 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE WAUWATOSA WI 53213 Initial License: 01/15/2020 ELIZABETH RESIDENCE NORTH (0009330) ELIZABETH RESIDENCE INC Type: CBRF HCBS COMPLIANT (414) 540-4141 Class: CNA 9329 S 48TH ST ADVANCED AGED FRANKLIN WI 53132 RICHARD COURY Gender - Capacity: M/F - 33 (414) 421-4324 RICHARD COURY 6340 N GREEN BAY AVE Low/High rate: 3,437/7,500 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE GLENDALE WI 53209 Initial License: 07/12/2001 Association Approval: WALA ELIZABETH RESIDENCE OAK CREEK (0013620) RICHARD F COURY Type: CBRF HCBS COMPLIANT (414) 540-4141 Class: CNA 10441 S NICHOLSON RD ADVANCED AGED OAK CREEK WI 53154 RICHARD COURY Gender - Capacity: M/F - 20 (414) 762-5118 RICHARD COURY 6340 N GREEN BAY AVE Low/High rate: 4,000/6,000 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE GLENDALE WI 53209 Initial License: 03/16/2011

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 10 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

ELIZABETH RESIDENCE OF BAYSIDE (0010952) RJJG LLC Type: CBRF HCBS COMPLIANT (414) 352-4663 Class: CNA 9289 N PORT WASHINGTON RD ADVANCED AGED BAYSIDE WI 53217 AARON CHARAPATA Gender - Capacity: M/F - 56 (414) 352-4663 AARON CHARAPATA 9289 N PORT WASHINGTON RD Low/High rate: 5,700/7,500 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE BAYSIDE WI 53217 Initial License: 06/09/2005 PUBLIC FUNDING

ELIZABETH RESIDENCE SOUTH (0010429) ELIZABETH RESIDENCE INC Type: CBRF HCBS COMPLIANT (414) 540-4141 Class: CNA 9355 S 48TH ST ADVANCED AGED FRANKLIN WI 53132 RICHARD COURY Gender - Capacity: M/F - 31 (414) 421-3444 EGRISELDA TUJANI 6340 N GREEN BAY AVE Low/High rate: 3,250/6,700 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE GLENDALE WI 53209 Initial License: 12/01/2003 PUBLIC FUNDING Association Approval: WALA EMERALD CASTLE (0015520) Castle Senior Living Inc Type: CBRF HCBS COMPLIANT (414) 427-1655 Class: CNA 11125 W Layton Avenue ADVANCED AGED Greenfield WI 53228 Kristopher Kiefer Gender - Capacity: M/F - 8 (414) 427-0027 MICHELLE GREEN 11125 W Layton Avenue Low/High rate: 3,800/5,000 DEVELOPMENTALLY DISABLED County: MILWAUKEE Greenfield WI 53228 Initial License: 02/19/2015 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY ESSENCE LIVING CARE (0018531) ESSENCE LIVING CARE Type: CBRF HCBS COMPLIANT (407) 738-2992 Class: AA 2617 NORTH 54TH STREET ADVANCED AGED MILWAUKEE WI 53210 GUSTAVO COLMENARES Gender - Capacity: M/F - 7 (407) 738-2992 NICOLE BILLINGLEA 600 FALCON DRIVE APT 604 Low/High rate: 6,500/9,500 DEVELOPMENTALLY DISABLED County: MILWAUKEE ABSECON NJ 08201 Initial License: 07/13/2021 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM ESTHERMERE MANOR (0012625) THE ESTHER HOUSE INC Type: CBRF HCBS COMPLIANT (414) 334-1225 Class: CNA 7000 N 44TH ST ADVANCED AGED MILWAUKEE WI 53223 DEBORAH CROWLEY Gender - Capacity: M/F - 5 (414) 334-1225 DEBORAH CROWLEY PO BOX 91387 Low/High rate: 3,934/4,210 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53209 Initial License: 03/31/2009 EMOTIONALLY DISTURBED/MENTAL PHYSICALLY DISABLED TRAUMATIC BRAIN INJURY EVERLASTING CARE ADULT FAMILY HOMES (0017874) EVERLASTING CARE ADULT FAMILY HOMES Type: CBRF HCBS COMPLIANT (414) 350-9274 Class: ANA 6329 W THURSTON AVE ADVANCED AGED MILWAUKEE WI 53218 Demetria McDowell Gender - Capacity: M/F - 5 (414) 350-9274 CRYSTAL SULLIVAN PO BOX 90841 Low/High rate: 5,000/15,000 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53209 Initial License: 01/30/2020 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TRAUMATIC BRAIN INJURY FARDALE HOME (0017606) WILLOWBROOK SENIOR LIVING LLC Type: CBRF HCBS COMPLIANT (217) 553-3065 Class: CS 3031 W FARDALE AVE ADVANCED AGED MILWAUKEE WI 53221 KUROSH DEJGOSHA Gender - Capacity: M/F - 20 (414) 944-9314 DEJGOSHA KUROSH 1345 N JEFFERSON ST STE 328 Low/High rate: 3,000/6,000 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE MILWAUKEE WI 53202 Initial License: 05/01/2019 IRREVERSIBLE DEMENTIA/ALZHEIM PUBLIC FUNDING FINCH HOUSE (0012715) MILOUDI INC Type: CBRF HCBS COMPLIANT (262) 271-0993 Class: CNA 5762 FINCH LN ADVANCED AGED GREENDALE WI 53129 SAM HASSAN LAHRACHE Gender - Capacity: M/F - 8 (414) 421-5592 RAKESH PATEL W274 S4025 TIMBER TRAIL Low/High rate: 3,180/3,450 DEVELOPMENTALLY DISABLED County: MILWAUKEE WAUKESHA WI 53189 Initial License: 07/01/2009 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PUBLIC FUNDING

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 11 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

FOX POINT MANOR (0009113) GALINA DONETS Type: CBRF ADVANCED AGED (414) 351-5430 Class: CS 7450 N PORT WASHINGTON RD DEVELOPMENTALLY DISABLED FOX POINT WI 53217 GALINA DONETS Gender - Capacity: M/F - 8 (414) 228-1490 GALINA DONETS 1125 LAKE COOK ROAD Low/High rate: 3,100/3,600 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE NORTHBROOK IL 60062 Initial License: 12/14/2000 IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING

FOXCROFT CROSSING (0013959) BRYANT HOMES LLC Type: CBRF HCBS COMPLIANT (414) 241-7067 Class: CNA 7220 FOXCROFT CT ADVANCED AGED FRANKLIN WI 53132 CANDACE DAHLKE Gender - Capacity: M/F - 8 (414) 858-9091 CANDACE DAHLKE 12501 W NEEDHAM DR Low/High rate: 0/3,790 DEVELOPMENTALLY DISABLED County: MILWAUKEE NEW BERLIN WI 53151 Initial License: 01/01/2012 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TERMINALLY ILL TRAUMATIC BRAIN INJURY Association Approval: WALA FRANCIS HOUSE (0016783) CHI LIVING COMMUNITIES Type: CBRF IRREVERSIBLE DEMENTIA/ALZHEIM (419) 357-2877 Class: CNA 3601 S CHICAGO AVE PUBLIC FUNDING SOUTH MILWAUKEE WI 53172 MIKE GULOCK Gender - Capacity: M/F - 64 (414) 570-6208 MIKE GULOCK 3601 S CHICAGO AVE Low/High rate: 6,074/6,339 County: MILWAUKEE SOUTH MILWAUKEE WI 53172 Initial License: 08/14/2017 FRANCISCAN GARDENS (0016782) CHI LIVING COMMUNITIES Type: CBRF HCBS COMPLIANT (419) 357-2877 Class: CNA 1000 WILLIAMS AVE IRREVERSIBLE DEMENTIA/ALZHEIM SOUTH MILWAUKEE WI 53172 MIKE GULOCK Gender - Capacity: M/F - 60 (414) 764-4100 MIKE GULOCK 1000 WILLIAMS AVE Low/High rate: 6,000/6,309 PUBLIC FUNDING County: MILWAUKEE SOUTH MILWAUKEE WI 53172 Initial License: 08/14/2017 FRANKLIN HOUSE (0015898) MATT TALBOT RECOVERY SERVICES INC Type: CBRF EMOTIONALLY DISTURBED/MENTAL (414) 342-5474 Class: CNA 9132 SOUTH 92ND STREET PUBLIC FUNDING FRANKLIN WI 53132 KARL RAJANI Gender - Capacity: M/F - 8 (414) 367-2336 ANTONEO DESHAZOR PO BOX 20007 Low/High rate: 600/18,000 County: MILWAUKEE GREENFIELD WI 53220-0007 Initial License: 03/24/2016 GOLDEN GARDENS (0012911) GARDEN VIEW PLATINUM LLC Type: CBRF HCBS COMPLIANT (414) 940-3134 Class: CNA 8526 W MILL RD ADVANCED AGED MILWAUKEE WI 53225 JOHN TERESINSKI Gender - Capacity: M/F - 38 (414) 940-6608 PAULA GASTON 2448 S 102nd Street Suite305 Low/High rate: 2,800/3,700 DEVELOPMENTALLY DISABLED County: MILWAUKEE West Allis WI 53227 Initial License: 01/27/2010 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL

GOLDEN VIEW (0011359) GOLDEN VIEW LLC Type: CBRF HCBS COMPLIANT (262) 989-5382 Class: CNA 6526 W BLUEMOUND RD ADVANCED AGED MILWAUKEE WI 53213 MARY FILLER Gender - Capacity: M/F - 33 (262) 939-5297 ANNE-MARIE FOGEL 19913 SPRING STREET Low/High rate: 2,800/3,700 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE UNION GROVE WI 53182 Initial License: 03/06/2006 IRREVERSIBLE DEMENTIA/ALZHEIM PUBLIC FUNDING

GOOD HOPE MANOR I (0018510) BROADSTEP WISCONSIN INC Type: CBRF ADVANCED AGED (414) 640-9010 Class: CNA 7070 NORTH 124TH STREET DEVELOPMENTALLY DISABLED MILWAUKEE WI 53224 JESSICA ZOCH Gender - Capacity: M/F - 7 (414) 358-2578 JESSICA ZOCH 1205 SOUTH 70TH STREET Low/High rate: EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE WEST ALLIS WI 53214 Initial License: 06/01/2021 PHYSICALLY DISABLED TRAUMATIC BRAIN INJURY

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 12 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

GOOD HOPE MANOR II (0018511) BROADSTEP WISCONSIN INC Type: CBRF ADVANCED AGED (414) 640-9010 Class: CNA 7060 NORTH 124TH STREET DEVELOPMENTALLY DISABLED MILWAUKEE WI 53224 JESSICA ZOCH Gender - Capacity: M/F - 8 (414) 358-2578 JESSICA ZOCH 1205 SOUTH 70TH STREET Low/High rate: EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE WEST ALLIS WI 53214 Initial License: 06/01/2021 PHYSICALLY DISABLED TRAUMATIC BRAIN INJURY GRACEFUL LIVING CENTER INC (0012451) GRACEFUL LIVING CENTER INC Type: CBRF HCBS COMPLIANT (414) 975-2485 Class: AA 3628 N 41ST ST ADVANCED AGED MILWAUKEE WI 53216 ARDELIA SWIAMS Gender - Capacity: M/F - 8 (414) 442-5740 ARDELIA SWIAMS 3917 N 26TH ST Low/High rate: 2,750/3,750 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53206 Initial License: 09/17/2008 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PUBLIC FUNDING GREENFIELD HOUSE (0015031) MCFI dba WHOLE HEALTH CLINICAL GROUP Type: CBRF HCBS COMPLIANT (414) 459-3014 Class: AA 10521 W GREENFIELD AVENUE EMOTIONALLY DISTURBED/MENTAL WEST ALLIS WI 53214 JORDAN FARNAND Gender - Capacity: M/F - 8 (414) 459-3014 JORDAN FARNAND 932 S 60TH STREET Low/High rate: 4,048/4,048 County: MILWAUKEE MILWAUKEE WI 53214 Initial License: 08/07/2014 Association Approval: WALA HAMMOND HOUSE (0010416) INDEPENDENT LIFESTYLES INC Type: CBRF HCBS COMPLIANT (262) 782-6068 Class: AS 3750 E HAMMOND AVE ADVANCED AGED CUDAHY WI 53110 DAN HOECHERL Gender - Capacity: M/F - 18 (414) 486-4120 DAN HOECHERL 4405 E DEERWOOD DR Low/High rate: 2,881/2,881 DEVELOPMENTALLY DISABLED County: MILWAUKEE NEW BERLIN WI 53151-9240 Initial License: 11/19/2003 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED HAMPTON II (0014895) OMEGA COMMUNITY SERVICES, LLC Type: CBRF HCBS COMPLIANT (414) 380-2436 Class: AA 7019 W HAMPTON AVENUE DEVELOPMENTALLY DISABLED MILWAUKEE WI 53218 RACHEL OEMIG KLEIN Gender - Capacity: M/F - 6 (414) 578-1294 RACHEL OEMIG KLEIN 7019 W HAMPTON AVENUE Low/High rate: 3,183/10,254 PUBLIC FUNDING County: MILWAUKEE MILWAUKEE WI 53218 Initial License: 01/01/2014

HAMPTON SUPPORTIVE CARE (310631) WILLOW OF PARKVIEW INC Type: CBRF ADVANCED AGED (414) 466-6427 Class: CNA 4615 W HAMPTON AVE CORRECTIONAL CLIENTS MILWAUKEE WI 53218 SAMUEL BRANDMAN Gender - Capacity: M/F - 36 (414) 466-6427 SHARON BUTLER 2711 W HOWARD ST Low/High rate: 3,300/3,800 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE CHICAGO IL 60645-1303 Initial License: 12/02/1996 PHYSICALLY DISABLED PUBLIC FUNDING

HANDS AT HOME CBRF (0018273) HANDS AT HOME LLC Type: CBRF ADVANCED AGED (414) 349-4280 Class: AA 6401-6403 NORTH 42ND STREET DEVELOPMENTALLY DISABLED MILWAUKEE WI 53209 CLARINDRIA ADDISON Gender - Capacity: M/F - 6 (414) 236-5860 CLARINDRIA ADDISON 6825 W BROWN DEER RD 242302 Low/High rate: 4,500/7,000 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE MILWAUKEE WI 53224 Initial License: 07/19/2021 IRREVERSIBLE DEMENTIA/ALZHEIM PUBLIC FUNDING TERMINALLY ILL TRAUMATIC BRAIN INJURY HARBORCHASE OF SHOREWOOD (0015906) CHP SHOREWOOD WI TENANT CORP Type: CBRF HCBS COMPLIANT (407) 650-1000 Class: CNA 1111 E CAPITOL DR ADVANCED AGED SHOREWOOD WI 53211 KEN KEALEY Gender - Capacity: M/F - 41 (414) 436-0311 KEN KEALEY 1111 E CAPITOL DR Low/High rate: 5,795/7,495 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE SHOREWOOD WI 53211 Initial License: 12/08/2015 PUBLIC FUNDING HARBOUR ASSISTED LIVING RESIDENCES (0017872) LCS GREENDALE LLC Type: CBRF ADVANCED AGED 5800 MOCKINGBIRD LN (615) 394-2187 Class: CNA GREENDALE WI 53129 DEBRA BARTH Gender - Capacity: M/F - 48 (414) 421-9600 DEBRA BARTH 5800 MOCKINGBIRD LN Low/High rate: 5,415/6,273 County: MILWAUKEE GREENDALE WI 53129 Initial License: 10/01/2019

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 13 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

HARBOUR VILLAGE (0017825) LCS GREENDALE LLC Type: CBRF HCBS COMPLIANT (615) 394-2187 Class: CNA 5900 MOCKINGBIRD LN IRREVERSIBLE DEMENTIA/ALZHEIM GREENDALE WI 53129 DEBRA BARTH Gender - Capacity: M/F - 52 (414) 421-9600 DEBRA BARTH 5700 MOCKINGBIRD LN Low/High rate: 1,626/6,684 PUBLIC FUNDING County: MILWAUKEE GREENDALE WI 53129 Initial License: 10/01/2019 HARWOOD PLACE ASSISTED LIVING (0009947) HARWOOD PLACE INC Type: CBRF ADVANCED AGED (414) 256-6800 Class: CNA 8220 W HARWOOD AVE PHYSICALLY DISABLED WAUWATOSA WI 53213 SHERI POLCZYNSKI Gender - Capacity: M/F - 32 (414) 256-6837 SHERI POLCZYNSKI 8220 W HARWOOD AVE Low/High rate: 5,300/7,600 TERMINALLY ILL County: MILWAUKEE WAUWATOSA WI 53213 Initial License: 08/04/2003 Association Approval: LeadingAge Wisconsin HEARTIS VILLAGE NORTH SHORE (0017670) HEARTIS NORTH SHORE PARTNERS LP Type: CBRF ADVANCED AGED (214) 916-5750 Class: CNA 100 W RIVER WOODS PKWY IRREVERSIBLE DEMENTIA/ALZHEIM GLENDALE WI 53212 JULIE TICCIONI Gender - Capacity: M/F - 110 (414) 409-6700 Julie Ticcioni 100 W RIVER WOODS PKWY Low/High rate: 4,070/7,100 County: MILWAUKEE GLENDALE WI 53212 Initial License: 06/27/2019 HERITAGE WEST ALLIS HERITAGE 7 LLC (0012725) MILO PINKERTON Type: CBRF HCBS COMPLIANT (952) 351-4540 Class: CNA 7801 W NATIONAL AVE IRREVERSIBLE DEMENTIA/ALZHEIM WEST ALLIS WI 53214 MILO PINKERTON Gender - Capacity: M/F - 40 (414) 302-9705 AMANDA RUNNOE 7901 W NATIONAL AVE Low/High rate: 3,600/4,500 PUBLIC FUNDING County: MILWAUKEE WEST ALLIS WI 53214 Initial License: 10/21/2009

HERMAN HOUSE (0010082) HEALTHSPAN INC Type: CBRF HCBS COMPLIANT (414) 541-4700 Class: AA 3700 3702 S HERMAN ST ADVANCED AGED MILWAUKEE WI 53207 LORI PAPROCKI Gender - Capacity: M/F - 6 (414) 800-7927 HOLLY NYGRO 5520 W FOREST HOME AVE Low/High rate: 3,100/5,500 DEVELOPMENTALLY DISABLED County: MILWAUKEE GREENFIELD WI 53220 Initial License: 05/01/2003 EMOTIONALLY DISTURBED/MENTAL TERMINALLY ILL HIDDEN TERRACE (0009379) LIFECARE HOMES INC Type: CBRF HCBS COMPLIANT (262) 782-6068 Class: CS 3405 W SYCAMORE ADVANCED AGED FRANKLIN WI 53132 DAN HOECHERL Gender - Capacity: M/F - 8 (414) 423-5607 DAN HOECHERL 4405 S DEERWOOD DR Low/High rate: 3,680/3,680 DEVELOPMENTALLY DISABLED County: MILWAUKEE NEW BERLIN WI 53151-9240 Initial License: 08/01/2001 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED HIL SUNSET HOME (0011194) HOMES FOR INDEPENDENT LIVING OF WI LLC Type: CBRF HCBS COMPLIANT (262) 569-5515 Class: CNA 10212 W SUNSET AVE DEVELOPMENTALLY DISABLED WAUWATOSA WI 53222 LYNN MATZKE Gender - Capacity: M/F - 6 (414) 461-0140 KELLY THOMPSON 1249 RUSSETT COURT Low/High rate: 5,532/5,532 PHYSICALLY DISABLED County: MILWAUKEE GREEN BAY WI 54313 Initial License: 11/16/2005 PUBLIC FUNDING HIL WHITNALL HOUSE (0009798) HOMES FOR INDEPENDENT LIVING OF WI LLC Type: CBRF HCBS COMPLIANT (262) 569-5515 Class: CNA 6275 S 106TH ST DEVELOPMENTALLY DISABLED HALES CORNERS WI 53130 LYNN MATZKE Gender - Capacity: M/F - 6 (414) 427-4993 KELLY THOMPSON 1249 RUSSETT COURT Low/High rate: 7,107/7,107 PUBLIC FUNDING County: MILWAUKEE GREEN BAY WI 54313 Initial License: 01/01/2002 HILLCREST HOMES 44TH (310118) HILLCREST HOMES OF WEST ALLIS INC Type: CBRF HCBS COMPLIANT (414) 322-5437 Class: AS 5210 S 44TH ST DEVELOPMENTALLY DISABLED GREENFIELD WI 53220-5111 JOSEPH FUCHS Gender - Capacity: M/F - 8 (414) 423-8226 JOE FUCHS 12720 W LISBON RD Low/High rate: 1,875/2,010 County: MILWAUKEE BROOKFIELD WI 53005 Initial License: 09/15/1990 HILLCREST HOMES 75TH (310193) HILLCREST HOMES INC Type: CBRF HCBS COMPLIANT (414) 322-5437 Class: AS 1467 S 75TH ST DEVELOPMENTALLY DISABLED WEST ALLIS WI 53214 JOSEPH FUCHS Gender - Capacity: M/F - 8 (414) 476-2928 JOE FUCHS 12720 W LISBON RD Low/High rate: 2,000/2,200 County: MILWAUKEE BROOKFIELD WI 53005 Initial License: 05/12/1994

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 14 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

HOMES OF HOPE LLC (0014586) HOMES OF HOPE LLC Type: CBRF HCBS COMPLIANT (414) 406-3294 Class: CNA 6609 NORTH 53RD STREET ADVANCED AGED MILWAUKEE WI 53224 APRIL JUETT Gender - Capacity: M/F - 5 (414) 406-3294 APRIL JUETT PO BOX 16177 Low/High rate: 3,875/5,500 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53216 Initial License: 08/02/2013 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL

INFINITY ASSISTED LIVING HOME (0015779) GOLDEN MILLENNIUM ENTERPRISES LLC Type: CBRF HCBS COMPLIANT (414) 803-3497 Class: CA 1665 SOUTH 64TH STREET ADVANCED AGED WEST ALLIS WI 53214 VITALIY GORELIK Gender - Capacity: M/F - 8 (414) 803-3497 VITALIY GORELIK 3701 W SHERBROOKE DR Low/High rate: 3,284/3,740 DEVELOPMENTALLY DISABLED County: MILWAUKEE MEQUON WI 53092 Initial License: 03/15/2016 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TRAUMATIC BRAIN INJURY IVY TERRACE (0014857) LIVE TO SERVE LLC Type: CBRF HCBS COMPLIANT (414) 762-5123 Class: AS 6606 S CRANE DRIVE ADVANCED AGED OAK CREEK WI 53154 DANIELLE MOREY Gender - Capacity: M/F - 8 (414) 762-5123 DANIELLE MOREY 8141 FOLEY RD Low/High rate: 3,400/3,600 DEVELOPMENTALLY DISABLED County: MILWAUKEE RACINE WI 53402 Initial License: 01/03/2014

JACKSON HOUSE (0015156) MCFI dba WHOLE CLINICAL HEALTH GROUP Type: CBRF HCBS COMPLIANT (414) 459-3014 Class: AS 2956 S 60TH ST EMOTIONALLY DISTURBED/MENTAL MILWAUKEE WI 53219 JORDAN FARNAND Gender - Capacity: M/F - 15 (414) 327-6374 JORDAN FARNAND 932 S 60TH ST Low/High rate: 4,979/4,979 County: MILWAUKEE MILWAUKEE WI 53214 Initial License: 07/28/2014 Association Approval: WALA JC VILLA ONE (0015286) D TAYLOR PROPERTIES LLC Type: CBRF HCBS COMPLIANT (414) 270-1970 Class: CNA 8030 W APPLETON AVE ADVANCED AGED MILWAUKEE WI 53218 DANIEL TAYLOR Gender - Capacity: M/F - 8 (414) 270-1970 DANIEL TAYLOR PO BOX 511325 Low/High rate: 3,300/4,300 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53203 Initial License: 12/08/2014 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY Association Approval: WALA JC VILLA TWO (0015287) D TAYLOR PROPERTIES LLC Type: CBRF HCBS COMPLIANT (414) 688-7272 Class: CNA 8040 W APPLETON AVENUE ADVANCED AGED MILWAUKEE WI 53218 DANIEL TAYLOR Gender - Capacity: M/F - 8 (414) 270-1970 DANIEL TAYLOR PO BOX 511325 Low/High rate: 3,300/4,300 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53203 Initial License: 12/08/2014 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TERMINALLY ILL TRAUMATIC BRAIN INJURY Association Approval: WALA JEANNETTA ROBINSON HOUSE (310701) GENESIS BEHAVIORAL SERVICES INC Type: CBRF ALCOHOL/DRUG DEPENDENT (414) 376-5445 Class: AA 5427 W VILLARD AVENUE PUBLIC FUNDING MILWAUKEE WI 53218 PATRICIA FAULHABER Gender - Capacity: M/F - 24 (414) 376-5445 PATRICIA FAULHABER 6737 W WASHINGTON ST #2210 Low/High rate: 2,615/2,950 County: MILWAUKEE WEST ALLIS WI 53214 Initial License: 10/31/1998

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 15 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

JEFFERSON CREST III YELLOW ROSE (0011678) D TAYLOR PROPERTIES Type: CBRF HCBS COMPLIANT (414) 688-7272 Class: CA 8717 W PALMETTO AVE ADVANCED AGED MILWAUKEE WI 53225 DANIEL TAYLOR Gender - Capacity: M/F - 5 (414) 270-1971 DANIEL TAYLOR P O BOX 511325 Low/High rate: 1,700/3,000 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53203 Initial License: 03/29/2007 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM TERMINALLY ILL TRAUMATIC BRAIN INJURY JOSHUA GLOVER HOUSE (310186) WISCONSIN COMMUNITY SERVICES INC Type: CBRF CORRECTIONAL CLIENTS 2404 N 50TH ST (414) 271-2512 Class: AA MILWAUKEE WI 53210 CLARENCE JOHNSON Gender - Capacity: M - 36 (414) 442-3700 ARTIS LANDON 3732 W WISCONSIN AVE SUITE 200 Low/High rate: 2,112/2,640 County: MILWAUKEE MILWAUKEE WI 53208 Initial License: 02/14/1994 KINDREDHEARTS OF BROWN DEER (0009744) PARTNERS IN COMMUNITY ELDERCARE LLC Type: CBRF HCBS COMPLIANT (608) 442-8005 Class: CNA 4015 W WOODALE AVE ADVANCED AGED BROWN DEER WI 53209 CATHY BAIRD Gender - Capacity: M/F - 16 (414) 355-7272 LATOYA LEE 4015 Woodale Ave. Low/High rate: 3,200/4,276 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE Brown Deer WI 53209 Initial License: 10/01/2002 PUBLIC FUNDING LAKE POINTE MANOR (310266) LIFECARE HOMES INC Type: CBRF HCBS COMPLIANT (262) 782-6068 Class: CS 8781 TRAVIS CT ADVANCED AGED FRANKLIN WI 53132 DAN HOECHERL Gender - Capacity: M/F - 8 (414) 427-7707 DAN HOECHERL 4405 S DEERWOOD DR Low/High rate: 3,258/3,258 DEVELOPMENTALLY DISABLED County: MILWAUKEE NEW BERLIN WI 53151 Initial License: 06/12/1995 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED LAYTON TERRACE (0008596) LAYTON TERRACE V LLC Type: CBRF HCBS COMPLIANT (262) 548-5965 Class: CNA 9200 W LAYTON AVE ADVANCED AGED GREENFIELD WI 53228 BETH ANDERSON Gender - Capacity: M/F - 80 (414) 425-5600 TANYA OLSON 1805 KENSINGTON DR Low/High rate: 5,000/6,435 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE WAUKESHA WI 53188 Initial License: 08/27/1999 WAIVER CERTIFIED INDEPENDENT C LIFECARE MANOR (0008891) LIFECARE HOMES INC Type: CBRF HCBS COMPLIANT (262) 782-6068 Class: CS 4013 S 119TH ST ADVANCED AGED GREENFIELD WI 53228 DAN HOECHERL Gender - Capacity: M/F - 8 (414) 545-6587 DAN HOECHERL 4405 E DEERWOOD DR Low/High rate: 3,258/3,258 DEVELOPMENTALLY DISABLED County: MILWAUKEE NEW BERLIN WI 53151-9240 Initial License: 02/10/2000 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED

LINCOLN TERRACE GROUP HOME (0014399) GOLDEN MILLENNIUM ENTERPRISES LLC Type: CBRF HCBS COMPLIANT (414) 803-3497 Class: CS 2416 S 60TH ST ADVANCED AGED WEST ALLIS WI 53219 VITALIY GORELIK Gender - Capacity: M/F - 8 (414) 803-3497 VITALIY GORELIK 3701 SHERBROOKE DR Low/High rate: 3,284/3,740 DEVELOPMENTALLY DISABLED County: MILWAUKEE MEQUON WI 53092 Initial License: 12/07/2012 EMOTIONALLY DISTURBED/MENTAL PUBLIC FUNDING

LUTHER MANOR COURTYARDS (310087) UNITED LUTHERAN PROGRAM FOR THE AGING Type: CBRF ADVANCED AGED (414) 464-3880 Class: CNA 4611 N 92ND ST IRREVERSIBLE DEMENTIA/ALZHEIM WAUWATOSA WI 53225 STEPHANIE CHEDID Gender - Capacity: M/F - 140 (414) 464-3880 ANGELA DOUGLAS 4545 N 92ND ST Low/High rate: 4,228/6,509 PUBLIC FUNDING County: MILWAUKEE WAUWATOSA WI 53225 Initial License: 11/27/1981 Association Approval: LeadingAge Wisconsin LYNX (0014191) DUNGARVIN WISCONSIN LLC Type: CBRF HCBS COMPLIANT (414) 443-1311 Class: CNA 6188 N 122ND ST DEVELOPMENTALLY DISABLED MILWAUKEE WI 53225 VALERIE HARMAN Gender - Capacity: M/F - 6 (414) 358-5071 MICHAEL LEO 10425 W NORTH AVE STE 330 Low/High rate: 32,905/32,905 PHYSICALLY DISABLED County: MILWAUKEE WAUWATOSA WI 53226 Initial License: 06/15/2012 PUBLIC FUNDING

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 16 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

MAGNOLIA HOUSE (0017607) WILLOWBROOK SENIOR LIVING LLC Type: CBRF HCBS COMPLIANT (217) 553-3065 Class: CS 8919 N MICHELE ST ADVANCED AGED MILWAUKEE WI 53224 KUROSH DEJGOSHA Gender - Capacity: M/F - 20 (414) 446-9884 Kurosh Dejgosha 1345 N JEFFERSON ST STE 328 Low/High rate: 3,000/6,000 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE MILWAUKEE WI 53202 Initial License: 05/01/2019 IRREVERSIBLE DEMENTIA/ALZHEIM PUBLIC FUNDING MANITOBA GROUP HOME (0014252) PHOENIX CARE SYSTEMS INC Type: CBRF HCBS COMPLIANT (414) 527-6970 Class: AA 3018 S 9TH ST DEVELOPMENTALLY DISABLED MILWAUKEE WI 53215 JESSICA ZOCH Gender - Capacity: M/F - 8 (414) 527-6970 JESSICA ZOCH 5555 N 51ST ST BLVD Low/High rate: EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE MILWAUKEE WI 53218 Initial License: 12/10/2012

MARANATHA HOUSE GLENDALE (THE) (0011513) AD2LUV LLC Type: CBRF HCBS COMPLIANT (414) 873-0515 Class: CS 4567 N 71ST STREET ADVANCED AGED MILWAUKEE WI 53218 UNDRAYE HOWARD Gender - Capacity: M/F - 8 (414) 464-0155 DEBORAH A CROWLEY W257 S5208 WOOD LILLY LANE Low/High rate: 3,058/3,850 ALCOHOL/DRUG DEPENDENT County: MILWAUKEE WAUKESHA WI 53189 Initial License: 01/07/2007 DEVELOPMENTALLY DISABLED EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TRAUMATIC BRAIN INJURY MARANATHA HOUSE POTOMAC (THE) (0016332) AD 2 LUV LLC Type: CBRF ADVANCED AGED (414) 617-8144 Class: CNA 7901 W POTOMAC AVE DEVELOPMENTALLY DISABLED MILWAUKEE WI 53222 UNDRAYE HOWARD Gender - Capacity: M/F - 8 (414) 210-5110 UNDRAYE HOWARD W257 S5208 WOOD LILLY LANE Low/High rate: 5,000/14,000 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE WAUKESHA WI 53189 Initial License: 02/02/2017 IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TRAUMATIC BRAIN INJURY MARANATHA HOUSE SOUTH (THE) (0012681) AD2LUV LLC Type: CBRF HCBS COMPLIANT (414) 873-0515 Class: CA 2526 S 85TH ST ADVANCED AGED WEST ALLIS WI 53227 UNDRAYE HOWARD Gender - Capacity: M/F - 6 (414) 543-0094 DEBORAH CROWLEY W257 S5208 WOOD LILLY LANE Low/High rate: 3,966/4,200 DEVELOPMENTALLY DISABLED County: MILWAUKEE WAUKESHA WI 53189 Initial License: 03/31/2009 EMOTIONALLY DISTURBED/MENTAL TRAUMATIC BRAIN INJURY MARANATHA HOUSE TACOMA (THE) (0012162) AD2LUV LLC Type: CBRF HCBS COMPLIANT (414) 873-0515 Class: CA 6811 N TACOMA ST ADVANCED AGED MILWAUKEE WI 53224-4748 UNDRAYE HOWARD Gender - Capacity: M/F - 5 (414) 446-8448 DEBORAH CROWLEY W257 S5208 WOOD LILLY LANE Low/High rate: 3,646/3,846 DEVELOPMENTALLY DISABLED County: MILWAUKEE WAUKESHA WI 53189 Initial License: 02/07/2008 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM TRAUMATIC BRAIN INJURY MATT TALBOT RECOVERY CENTER (310016) MATT TALBOT RECOVERY SERVICES INC Type: CBRF ALCOHOL/DRUG DEPENDENT (414) 342-5474 Class: AA 2613 W North Ave CORRECTIONAL CLIENTS MILWAUKEE WI 53205 Karl Rajani Gender - Capacity: M - 26 (414) 342-5474 ANTONIO DESHAZOR P O BOX 20007 Low/High rate: 3,240/4,860 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE GREENFIELD WI 53220 Initial License: 12/01/1986 PUBLIC FUNDING

MATTHEWS OF MILWAUKEE I (0014182) MATTHEWS SENIOR HOUSING LLC Type: CBRF HCBS COMPLIANT (312) 623-0884 Class: CNA 7325 N PORT WASHINGTON RD ADVANCED AGED GLENDALE WI 53217-3416 THOMAS OSTROM Gender - Capacity: M/F - 20 (414) 540-0405 PAM CROFT 101 N WACKER DRIVE STE 616 Low/High rate: 4,020/7,040 DEVELOPMENTALLY DISABLED County: MILWAUKEE CHICAGO IL 60606 Initial License: 06/15/2012 IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 17 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

MATTHEWS OF MILWAUKEE II (0014181) MATTHEWS SENIOR HOUSING LLC Type: CBRF HCBS COMPLIANT (312) 623-0884 Class: CNA 7335 N PORT WASHINGTON RD ADVANCED AGED GLENDALE WI 53217-3416 THOMAS OSTROM Gender - Capacity: M/F - 20 (414) 540-0242 PAM CROFT 101 N WACKER DRIVE STE 616 Low/High rate: 4,020/7,040 DEVELOPMENTALLY DISABLED County: MILWAUKEE CHICAGO IL 60606 Initial License: 06/15/2012 IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TERMINALLY ILL TRAUMATIC BRAIN INJURY MATTHEWS OF OAK CREEK (0014183) MATTHEWS SENIOR HOUSING LLC Type: CBRF HCBS COMPLIANT (312) 623-0884 Class: CNA 7550 S 13TH ST ADVANCED AGED OAK CREEK WI 53154 THOMAS OSTROM Gender - Capacity: M/F - 20 (414) 768-8889 MEREDITH HUMPHREY 101 N WACKER DRIVE STE 616 Low/High rate: 4,020/7,000 DEVELOPMENTALLY DISABLED County: MILWAUKEE CHICAGO IL 60606 Initial License: 06/15/2012 IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY MATTHEWS OF SAINT FRANCIS I (0014180) MATTHEWS SENIOR HOUSING LLC Type: CBRF HCBS COMPLIANT (312) 623-0884 Class: CNA 3660 E DENTON AVE ADVANCED AGED ST FRANCIS WI 53235-5951 THOMAS OSTROM Gender - Capacity: M/F - 20 (414) 486-1008 ROBIN WADE 101 N WACKER DRIVE STE 616 Low/High rate: 4,020/7,000 DEVELOPMENTALLY DISABLED County: MILWAUKEE CHICAGO IL 60606 Initial License: 06/15/2012 IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY MATTHEWS OF SAINT FRANCIS II (0014179) MATTHEWS SENIOR HOUSING LLC Type: CBRF HCBS COMPLIANT (312) 623-0884 Class: CNA 3620 E DENTON AVE ADVANCED AGED ST FRANCIS WI 53235-5951 THOMAS OSTROM Gender - Capacity: M/F - 20 (414) 744-2815 ROBIN WADE 101 N WACKER DRIVE STE 616 Low/High rate: 4,020/7,000 DEVELOPMENTALLY DISABLED County: MILWAUKEE CHICAGO IL 60606 Initial License: 06/15/2012 IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY MERCY HILL LLC (0017663) MERCY HILL LLC Type: CBRF HCBS COMPLIANT (309) 368-1825 Class: CNA 11250 W COLDSPRING RD ADVANCED AGED GREENFIELD WI 53228 DANIELLE WESTCOMB Gender - Capacity: M/F - 8 (414) 427-7857 DANIELLE WESTCOMB 6801 BOBOLINK RD Low/High rate: 3,000/3,900 DEVELOPMENTALLY DISABLED County: MILWAUKEE RACINE WI 53402 Initial License: 08/14/2019 IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TRAUMATIC BRAIN INJURY META HOUSE (310697) META HOUSE INC Type: CBRF ALCOHOL/DRUG DEPENDENT 2618 N BREMEN ST (414) 962-1200 Class: AA MILWAUKEE WI 53212 CHRISTINE ULLSTRUP Gender - Capacity: M/F - 15 (414) 810-0705 CHRISTINE A ULLSTRUP 2625 N WEIL ST Low/High rate: 5,100/9,000 County: MILWAUKEE MILWAUKEE WI 53212 Initial License: 05/15/1998

META HOUSE III (310026) META HOUSE INC Type: CBRF ALCOHOL/DRUG DEPENDENT 3924 3926 N MARYLAND AVE (414) 962-1200 Class: AA SHOREWOOD WI 53211 CHRISTINE ULLSTRUP Gender - Capacity: F - 8 (414) 962-1200 CHRISTINE ULLSTRUP 2625 N WEIL STREET Low/High rate: 5,100/9,000 County: MILWAUKEE MILWAUKEE WI 53212-0000 Initial License: 11/30/1984 META HOUSE RIVERWEST CAMPUS NORTH (310044) META HOUSE INC Type: CBRF ALCOHOL/DRUG DEPENDENT (414) 962-1200 Class: AA 2626 N BREMEN ST PUBLIC FUNDING MILWAUKEE WI 53212 CHRISTINE ULLSTRUP Gender - Capacity: F - 20 (414) 962-1200 CHRISTINE ULLSTRUP 2625 N WEIL STREET Low/High rate: 5,100/9,000 County: MILWAUKEE MILWAUKEE WI 53212 Initial License: 04/01/1988

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 18 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

MIDLAND TERRACE (0008521) LIFECARE HOMES INC Type: CBRF HCBS COMPLIANT (262) 782-6068 Class: CS 5128 W MIDLAND DR ADVANCED AGED GREENFIELD WI 53220 DAN HOECHERL Gender - Capacity: M/F - 8 (414) 545-0660 DAN HOECHERL 4405 S DEERWOOD DR Low/High rate: 3,279/3,279 DEVELOPMENTALLY DISABLED County: MILWAUKEE NEW BERLIN WI 53151 Initial License: 02/05/1999 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM MILWAUKEE CATHOLIC HOME (0014598) MILWAUKEE CATHOLIC HOME Type: CBRF ADVANCED AGED () - Class: CNA 2330 NORTH PROSPECT AVENUE IRREVERSIBLE DEMENTIA/ALZHEIM MILWAUKEE WI 53211 PATRICK SHAUGHNESSY Gender - Capacity: M/F - 27 (414) 220-4610 THERESA OWENS 2330 NORTH PROSPECT AVENUE Low/High rate: 4,950/5,600 County: MILWAUKEE MILWAUKEE WI 53211 Initial License: 10/21/2014 Association Approval: LeadingAge Wisconsin MITCHELL MANOR OAK CREEK (0017782) SNH WIS TENANT LLC Type: CBRF HCBS COMPLIANT (617) 796-8350 Class: CNA 8740 S OAK PARK DR ADVANCED AGED OAK CREEK WI 53154 LISA NEWCOMB Gender - Capacity: M/F - 24 (414) 766-2100 PAUL GRANGER 400 CENTER ST ATTN LICENSING Low/High rate: 5,675/6,300 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE NEWTON MA 02458 Initial License: 01/01/2020 PHYSICALLY DISABLED TERMINALLY ILL MORE THAN A HOME CBRF (0017167) MORE THAN A HOME CBRF Type: CBRF DEVELOPMENTALLY DISABLED (414) 875-7496 Class: CNA 10135 WEST HAMPTON AVE EMOTIONALLY DISTURBED/MENTAL MILWAUKEE WI 53225 LYNELL MONNIE-NORTON Gender - Capacity: M/F - 8 (414) 585-9177 LYNELL MONNIE-NORTON PO BOX 888 Low/High rate: 4,500/7,000 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE MENOMONEE FALLS WI 53052 Initial License: 01/01/2020 PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY MORGAN HOUSE (0015064) MCFI dba WHOLE HEALTH CLINICAL GROUP Type: CBRF HCBS COMPLIANT (414) 459-3014 Class: AA 3749 3751 S 80TH STREET EMOTIONALLY DISTURBED/MENTAL MILWAUKEE WI 53220 JORDAN FARNAND Gender - Capacity: F - 8 (414) 459-3014 JORDAN FARNAND 932 S 60TH STREET Low/High rate: 3,876/3,876 County: MILWAUKEE MILWAUKEE WI 53214 Initial License: 08/05/2014

NEW PERSPECTIVE FRANKLIN (0018068) FRANKLIN OPS LLC Type: CBRF HCBS COMPLIANT (952) 241-8211 Class: CNA 7220 SOUTH BALLPARK DRIVE ADVANCED AGED FRANKLIN WI 53132 PAM ENGLE Gender - Capacity: M/F - 60 (414) 263-9800 BRIAN JENNINGS 5900 CLEARWATER DRIVE STE 500 Low/High rate: 3,925/5,325 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE MINNETONKA MN 55343 Initial License: 08/13/2020 PHYSICALLY DISABLED TERMINALLY ILL NEW PERSPECTIVE NORTH SHORE (0016219) BEAVER CREEK OPS LLC Type: CBRF HCBS COMPLIANT (952) 746-3630 Class: CNA 8875 N 60TH ST ADVANCED AGED BROWN DEER WI 53223 JENNA SPINELLI Gender - Capacity: M/F - 60 (414) 982-1551 ASHLEY ZIEGELBAUER 8875 N 60TH ST Low/High rate: 336/3,800 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE BROWN DEER WI 53223 Initial License: 07/19/2016 PHYSICALLY DISABLED TERMINALLY ILL NEXT STEP IN RESIDENTIAL SERVICES COVENTRY (0015 NEXT STEP IN RESIDENTIAL SERVICES LLC Type: CBRF HCBS COMPLIANT (262) 784-1840 Class: CNA 8028 W COVENTRY DR ADVANCED AGED FRANKLIN WI 53132 DOUG SVEDA Gender - Capacity: M/F - 5 DOUG SVEDA PO BOX 14185 Low/High rate: 5,747/5,747 DEVELOPMENTALLY DISABLED County: MILWAUKEE WEST ALLIS WI 53214 Initial License: 10/21/2014 EMOTIONALLY DISTURBED/MENTAL PHYSICALLY DISABLED PUBLIC FUNDING TRAUMATIC BRAIN INJURY

NEXT STEP IN RESIDENTIAL SERVICES EDGERTON (0014 NEXT STEP IN RESIDENTIAL SERVICES, LLC Type: CBRF HCBS COMPLIANT (262) 784-1840 Class: CNA 5255 SOUTH 18TH STREET ADVANCED AGED MILWAUKEE WI 53221 DOUG SVEDA Gender - Capacity: M/F - 5 DOUG SVEDA PO BOX 14185 Low/High rate: 5,313/5,313 DEVELOPMENTALLY DISABLED County: MILWAUKEE WEST ALLIS WI 53214 Initial License: 06/18/2013 EMOTIONALLY DISTURBED/MENTAL PHYSICALLY DISABLED PUBLIC FUNDING TRAUMATIC BRAIN INJURY

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 19 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

NEXT STEP IN RESIDENTIAL SERVICES RAMSEY (001660 NEXT STEP IN RESIDENTIAL SERVICES LLC Type: CBRF ADVANCED AGED (262) 784-1840 Class: CNA 2524 W RAMSEY AVE DEVELOPMENTALLY DISABLED MILWAUKEE WI 53221 DOUG SVEDA Gender - Capacity: M/F - 6 (414) 322-9939 DOUG SVEDA PO BOX 14185 Low/High rate: 3,968/4,492 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE WEST ALLIS WI 53214 Initial License: 05/09/2017 PHYSICALLY DISABLED PUBLIC FUNDING TRAUMATIC BRAIN INJURY NEXT STEP IN RESIDENTIAL SERVICES WEST ALLIS (001 NEXT STEP IN RESIDENTIAL SERVICES LLC Type: CBRF ADVANCED AGED (262) 784-1840 Class: CNA 2577 S 118TH STREET DEVELOPMENTALLY DISABLED WEST ALLIS WI 53227 DOUG SVEDA Gender - Capacity: M/F - 6 (414) 541-4451 DOUG SVEDA PO BOX 14185 Low/High rate: 4,188/4,774 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE WEST ALLIS WI 53214 Initial License: 05/09/2017 PHYSICALLY DISABLED TRAUMATIC BRAIN INJURY NOBLE SENIOR LIVING AT WEST ALLIS (0018017) NSS-ALF WEST ALLIS LLC Type: CBRF HCBS COMPLIANT (732) 403-3151 Class: CS 7400 WEST GREENFIELD AVENUE ADVANCED AGED WEST ALLIS WI 53214 DAWN WILLERT Gender - Capacity: M/F - 110 (414) 476-3900 DAWN WILLERT 7400 WEST GREENFIELD AVENUE Low/High rate: 2,563/5,535 DEVELOPMENTALLY DISABLED County: MILWAUKEE WEST ALLIS WI 53214 Initial License: 04/13/2020 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM NORTH 66TH ST (0010149) CREATIVE COMMUNITY LIVING SERVICES INC Type: CBRF HCBS COMPLIANT (920) 261-1345 Class: CNA 8484 N 66TH ST DEVELOPMENTALLY DISABLED BROWN DEER WI 53223 KATHRYN BERGEN Gender - Capacity: F - 6 (414) 371-1488 RICHARD CZERWAN 314 E MAIN ST Low/High rate: 3,411/6,493 PHYSICALLY DISABLED County: MILWAUKEE WATERTOWN WI 53094 Initial License: 12/01/2003 NORTH SHORE HOUSE (0012761) MILOUDI INC Type: CBRF HCBS COMPLIANT (262) 271-0993 Class: CS 6807 N SANTA MONICA BLVD ADVANCED AGED FOX POINT WI 53217 SAM HASSAN LAHRACHE Gender - Capacity: M/F - 8 (414) 351-9207 RAKESH PATEL W274 S4025 TIMBER TRAIL Low/High rate: 3,100/3,500 DEVELOPMENTALLY DISABLED County: MILWAUKEE WAUKESHA WI 53189 Initial License: 07/01/2009 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PUBLIC FUNDING OAK CREEK PLACE (0014654) CREST AID OPCO LLC Type: CBRF ADVANCED AGED (415) 995-5135 Class: CNA 3829 S CHICAGO AVE IRREVERSIBLE DEMENTIA/ALZHEIM SOUTH MILWAUKEE WI 53172 Attn: POC/Legal Dept Gender - Capacity: M/F - 75 (414) 762-3838 MANDY GREASER 330 N. Wabash Ave., Ste. 3700 Low/High rate: 2,766/5,791 PHYSICALLY DISABLED County: MILWAUKEE Chicago IL 60611 Initial License: 07/11/2013

OAK CREST BLAKEWOOD HOME (0016631) VILLA OF GREENFIELD LLC Type: CBRF HCBS COMPLIANT (414) 427-0744 Class: CNA 3407 BLAKEWOOD AVE ADVANCED AGED SOUTH MILWAUKEE WI 53172 TIMOTHY GLOWINSKI Gender - Capacity: M/F - 8 (414) 427-0744 GIANNA GEORGE 8765 W FOREST HOME AVE Low/High rate: 3,000/5,000 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE GREENFIELD WI 53228 Initial License: 05/02/2017 OAK CREST VILLA (0016630) VILLA OF GREENFIELD LLC Type: CBRF HCBS COMPLIANT (414) 427-0744 Class: CNA 8765 W FOREST HOME AVE ADVANCED AGED GREENFIELD WI 53228 TIMOTHY GLOWINSKI Gender - Capacity: M/F - 42 (414) 427-0744 GIANNA GEORGE 8765 W FOREST HOME AVE Low/High rate: 3,000/5,000 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE GREENFIELD WI 53228 Initial License: 06/15/2017 OAK PARK PLACE OF OAK CREEK (0017746) OAK PARK PLACE OF OAK CREEK LLC Type: CBRF ADVANCED AGED (608) 729-2910 Class: CNA 1980 WEST RAWSON AVENUE IRREVERSIBLE DEMENTIA/ALZHEIM OAK CREEK WI 53154 HAYDEN FRANK Gender - Capacity: M/F - 90 (414) 216-3737 TIM BRABAND 719 JUPITER DRIVE Low/High rate: 2,100/4,300 County: MILWAUKEE MADISON WI 53718 Initial License: 12/12/2019 OAK PARK PLACE OF WAUWATOSA (0014395) OAK PARK PLACE OF WAUWATOSA LLC Type: CBRF HCBS COMPLIANT (608) 663-8728 Class: CNA 1621 RIVERS BEND ADVANCED AGED WAUWATOSA WI 53226 SCOTT FRANK Gender - Capacity: M/F - 75 (262) 902-8675 BRIANNA JOCHEM 719 JUPITER DR Low/High rate: 5,148/6,120 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE MADISON WI 53718 Initial License: 11/26/2012 PHYSICALLY DISABLED PUBLIC FUNDING

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 20 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

OAK RIDGE HOUSE (0012760) MILOUDI INC Type: CBRF HCBS COMPLIANT (262) 271-0993 Class: CS 2630 N 118TH ST ADVANCED AGED WAUWATOSA WI 53226 SAM HASSAN LAHRACHE Gender - Capacity: M/F - 8 (414) 258-6355 RAKESH PATEL W274 S4025 TIMBER TRAIL Low/High rate: 3,000/3,300 DEVELOPMENTALLY DISABLED County: MILWAUKEE WAUKESHA WI 53189 Initial License: 07/01/2009 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM OHIO HOUSE (0015016) MCFI dba WHOLE HEALTH CLINICAL GROUP Type: CBRF HCBS COMPLIANT (414) 459-3014 Class: AA 3309 S 112TH STREET EMOTIONALLY DISTURBED/MENTAL WEST ALLIS WI 53227 JORDAN FARNAND Gender - Capacity: M - 8 (414) 459-3014 JORDAN FARNAND 932 S 60TH STREET Low/High rate: 5,460/5,460 County: MILWAUKEE MILWAUKEE WI 53214 Initial License: 07/28/2014

OKLAHOMA GROUP HOME (0012672) PHOENIX CARE SYSTEMS INC Type: CBRF HCBS COMPLIANT (414) 527-6970 Class: AA 3245 S 24TH ST EMOTIONALLY DISTURBED/MENTAL MILWAUKEE WI 53215 JESSICA ZOCH Gender - Capacity: M/F - 8 (414) 662-5777 JESSICA ZOCH 5555 N 51ST BLVD Low/High rate: 38,263/38,263 County: MILWAUKEE MILWAUKEE WI 53218 Initial License: 05/01/2009

PALLADIUM ONE (0017860) PALLADIUM CARE LLC Type: CBRF ADVANCED AGED (414) 467-6326 Class: CNA 7911 N 47TH ST DEVELOPMENTALLY DISABLED BROWN DEER WI 53223 OLGA LISHANSKI Gender - Capacity: M/F - 8 (414) 354-4387 OLGA LISHANSKI 12525 N WOODLAND DR Low/High rate: 4,500/10,000 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE MEQUON WI 53092 Initial License: 10/17/2019 IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY PALLADIUM TWO (0017861) PALLADIUM CARE LLC Type: CBRF ADVANCED AGED (414) 467-6326 Class: CNA 7909 N 47TH ST DEVELOPMENTALLY DISABLED BROWN DEER WI 53223 OLGA LISHANSKI Gender - Capacity: M/F - 8 (414) 354-4386 OLGA LISHANSKI 12525 N WOODLAND DR Low/High rate: 4,500/10,000 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE MEQUON WI 53092 Initial License: 10/17/2019 IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY PARK HILLS WEST (0017154) GOLDEN MILLENNIUM ENTERPRISES LLC Type: CBRF ADVANCED AGED (414) 803-3497 Class: CNA 5910 S 118TH ST DEVELOPMENTALLY DISABLED HALES CORNERS WI 53130 VITALIY GORELIK Gender - Capacity: M/F - 20 (414) 803-3497 VITALIY GORELIK 3701 W SHERBROOKE DR Low/High rate: 3,446/6,000 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE MEQUON WI 53092 Initial License: 07/13/2018 IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY PARKWAY HOUSE (0012752) MILOUDI INC Type: CBRF HCBS COMPLIANT (262) 271-0993 Class: AS 2780 N MENOMONEE RIVER PKWY ADVANCED AGED MILWAUKEE WI 53222 SAM HASSAN LAHRACHE Gender - Capacity: M/F - 8 (414) 771-7326 RAKESH PATEL W274 S4025 TIMBER TRAIL Low/High rate: 3,180/3,450 DEVELOPMENTALLY DISABLED County: MILWAUKEE WAUKESHA WI 53189 Initial License: 07/01/2009 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PUBLIC FUNDING PARKWOOD ASSISTED LIVING GREEN HOUSE (0015217) PARKWOOD ASSISTED LIVING LLC Type: CBRF HCBS COMPLIANT (630) 202-2539 Class: CNA 6370 N GREEN BAY AVE ADVANCED AGED GLENDALE WI 53209 TONY LAHRACHE Gender - Capacity: M/F - 12 (414) 797-2603 TONY LAHRACHE 1617 DOVER DRIVE UNIT 14 Low/High rate: 3,200/3,900 DEVELOPMENTALLY DISABLED County: MILWAUKEE WAUKESHA WI 53186 Initial License: 07/01/2015 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 21 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

PARKWOOD ASSISTED LIVING MILL HOUSE (0015216) PARKWOOD ASSISTED LIVING LLC Type: CBRF HCBS COMPLIANT (414) 774-1740 Class: CNA 6378 N GREEN BAY AVE ADVANCED AGED GLENDALE WI 53209 TONY LAHRACHE Gender - Capacity: M/F - 15 (414) 228-8996 PENNY DUFF 1617 DOVER DRIVE UNIT 14 Low/High rate: 3,200/4,100 DEVELOPMENTALLY DISABLED County: MILWAUKEE WAUKESHA WI 53186 Initial License: 07/01/2015 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING

PARSONS HOUSE (310022) WISCONSIN COMMUNITY SERVICES INC Type: CBRF CORRECTIONAL CLIENTS 2930 N 25TH ST (414) 290-0400 Class: AA MILWAUKEE WI 53206 ARTIS LANDON Gender - Capacity: M/F - 40 (414) 445-3301 ARTIS LANDON 3732 W WISCONSIN AVE SUITE 320 Low/High rate: 0/2,708 County: MILWAUKEE MILWAUKEE WI 53208 Initial License: 05/24/1983 PEACE RESIDENTIAL HOME (310223) PEACE RESIDENTIAL HOME INC Type: CBRF HCBS COMPLIANT (414) 353-4441 Class: CNA 6477 N 91ST ST DEVELOPMENTALLY DISABLED MILWAUKEE WI 53224 DONNA VORPAGEL Gender - Capacity: M/F - 8 (414) 353-4441 DONNA VORPAGEL 6477 N 91ST ST Low/High rate: 2,184/2,586 County: MILWAUKEE MILWAUKEE WI 53224 Initial License: 01/10/1995

PEACEFUL BLESSED HOME (0015456) PEACEFUL BLESSED HOME Type: CBRF HCBS COMPLIANT (414) 625-0500 Class: CNA 2324 W WHITAKER AVE ADVANCED AGED MILWAUKEE WI 53221 MAHMOUD RAYYAN Gender - Capacity: M/F - 8 (414) 625-0500 SAMRA YAN 2324 W WHITAKER AVE Low/High rate: 2,900/3,300 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53221 Initial License: 01/15/2016 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY

PINE HAVEN (0011114) INDEPENDENT LIFESTYLES INC Type: CBRF HCBS COMPLIANT (262) 782-6068 Class: CNA 6795 S 51ST ST ADVANCED AGED FRANKLIN WI 53132 DAN HOECHERL Gender - Capacity: M/F - 12 (414) 421-8010 DAN HOECHERL 4405 S DEERWOOD DR Low/High rate: 3,390/3,456 DEVELOPMENTALLY DISABLED County: MILWAUKEE NEW BERLIN WI 53151-9240 Initial License: 02/01/2006 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PRESTIGIOUS ACADEMY INC (0010546) PRESTIGIOUS ACADEMY INC Type: CBRF HCBS COMPLIANT (414) 265-8181 Class: AA 2624 N 16TH ST ADVANCED AGED MILWAUKEE WI 53206 VERDELLA HARVEY Gender - Capacity: M/F - 8 (414) 265-8181 VERDELLA HARVEY PO BOX 6468 Low/High rate: 3,600/4,200 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53206 Initial License: 01/05/2005 EMOTIONALLY DISTURBED/MENTAL PUBLIC FUNDING

PRESTIGIOUS ACADEMY INC II (0011926) PRESTIGIOUS ACADEMY INC Type: CBRF HCBS COMPLIANT (414) 247-9444 Class: AA 2628 N 16TH ST ADVANCED AGED MILWAUKEE WI 53206 VERDELLA HARVEY Gender - Capacity: M/F - 8 (414) 265-8181 VERDELLA HARVEY PO BOX 6468 Low/High rate: 2,750/3,750 ALCOHOL/DRUG DEPENDENT County: MILWAUKEE MILWAUKEE WI 53206 Initial License: 08/04/2008 DEVELOPMENTALLY DISABLED EMOTIONALLY DISTURBED/MENTAL PHYSICALLY DISABLED

PRIMROSE RESIDENTIAL FACILITY (0009366) SHIRLEY GLADNEY Type: CBRF HCBS COMPLIANT (414) 462-0802 Class: AA 3910 3910A W BURLEIGH ST ADVANCED AGED MILWAUKEE WI 53210 SHIRLEY GLADNEY Gender - Capacity: M/F - 7 (414) 445-3607 SHIRLEY GLADNEY 3910 W BURLEIGH ST Low/High rate: 3,500/4,000 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53210 Initial License: 04/05/2002 EMOTIONALLY DISTURBED/MENTAL PUBLIC FUNDING

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 22 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

RAINBOW PARK HOUSE (0017600) RAINBOW PARK HOUSE LLC Type: CBRF HCBS COMPLIANT (262) 271-6512 Class: CNA 1217 S 118TH ST ADVANCED AGED WEST ALLIS WI 53214 SAM LAHRACHE Gender - Capacity: M/F - 8 (262) 271-6512 Sam Lahrache 1217 S 118TH ST Low/High rate: 3,200/3,500 DEVELOPMENTALLY DISABLED County: MILWAUKEE WEST ALLIS WI 53214 Initial License: 06/18/2019 EMOTIONALLY DISTURBED/MENTAL RAMSEY WOODS RESIDENCE (0017132) ARHC RWCUDWI01 TRS LLC C/O HEALTHCARE T Type: CBRF ADVANCED AGED (212) 415-6500 Class: CNA 3210 E RAMSEY AVE IRREVERSIBLE DEMENTIA/ALZHEIM CUDAHY WI 53110 Monique Gazdik Gender - Capacity: M/F - 33 (414) 744-4663 Monique Gazdik 3210 E RAMSEY AVE Low/High rate: 5,200/7,200 PHYSICALLY DISABLED County: MILWAUKEE CUDAHY WI 53110 Initial License: 02/28/2019 PUBLIC FUNDING TERMINALLY ILL RAVENSWOOD MANOR (310622) INDEPENDENT LIFESTYLES INC Type: CBRF HCBS COMPLIANT (262) 782-6068 Class: CS 8454 RAVENSWOOD CIRCLE ADVANCED AGED WAUWATOSA WI 53226 DAN HOECHERL Gender - Capacity: M/F - 8 (414) 443-0646 DAN HOECHERL 4405 S DEERWOOD DR Low/High rate: 3,033/3,148 DEVELOPMENTALLY DISABLED County: MILWAUKEE NEW BERLIN WI 53151 Initial License: 11/18/1996 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM REM WISCONSIN II INC COLLEGE AVE (0010402) REM WISCONSIN II INC Type: CBRF HCBS COMPLIANT (608) 276-1191 Class: CNA 3177 W COLLEGE AVE ADVANCED AGED FRANKLIN WI 53132 LORI WRIGHT Gender - Capacity: M/F - 6 (414) 761-1943 DEBBIE GEER 4033 123rd ST,STE A Low/High rate: 7,082/7,895 DEVELOPMENTALLY DISABLED County: MILWAUKEE CHIPPEWA FALLS WI 54729 Initial License: 09/13/2004 IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TRAUMATIC BRAIN INJURY REM WISCONSIN II INC NICHOLSON (0010403) REM WISCONSIN II INC Type: CBRF HCBS COMPLIANT (608) 276-1191 Class: CNA 1009 NICHOLSON AVE DEVELOPMENTALLY DISABLED SOUTH MILWAUKEE WI 53172 LORI WRIGHT Gender - Capacity: M/F - 6 (414) 768-5554 DEBBIE GEER 4033 123rd ST, STE A Low/High rate: 6,083/7,908 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE CHIPPEWA FALLS WI 54729 Initial License: 12/26/2003 PHYSICALLY DISABLED PUBLIC FUNDING TRAUMATIC BRAIN INJURY RESIDENTIAL LIVING SERVICES (310204) RESIDENTIAL LIVING SERVICES INC Type: CBRF HCBS COMPLIANT (414) 345-8243 Class: CA 1628 N 19TH ST ADVANCED AGED MILWAUKEE WI 53205 JOANN HARRIS Gender - Capacity: M/F - 7 (414) 342-9324 JOANN HARRIS PO BOX 05613 Low/High rate: 3,300/3,300 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53205 Initial License: 09/15/1994 EMOTIONALLY DISTURBED/MENTAL PHYSICALLY DISABLED RESIDENTIAL LIVING SERVICES II (310271) RESIDENTIAL LIVING SERVICES INC Type: CBRF HCBS COMPLIANT (414) 933-3929 Class: CNA 1624 N 19TH ST ADVANCED AGED MILWAUKEE WI 53205 JOANN HARRIS Gender - Capacity: M/F - 7 (414) 345-8243 JOANN HARRIS PO BOX 05613 Low/High rate: 3,300/3,300 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53205 Initial License: 03/03/1998 EMOTIONALLY DISTURBED/MENTAL PHYSICALLY DISABLED RIVERSIDE TERRACE (0008995) LIFECARE HOMES INC Type: CBRF HCBS COMPLIANT (262) 782-6068 Class: CS 5883 W RIVERSIDE DR ADVANCED AGED GREENDALE WI 53129 DAN HOECHERL Gender - Capacity: M/F - 8 (414) 423-4289 DAN HOECHERL 4405 S DEERWOOD DR Low/High rate: 3,741/3,741 DEVELOPMENTALLY DISABLED County: MILWAUKEE NEW BERLIN WI 53151 Initial License: 05/12/2000 EMOTIONALLY DISTURBED/MENTAL ROBINWOOD MANOR (310234) LIFECARE HOMES INC Type: CBRF HCBS COMPLIANT (262) 782-6068 Class: CS 10520 W ROBINWOOD LN ADVANCED AGED FRANKLIN WI 53132 DAN HOECHERL Gender - Capacity: M/F - 8 (414) 427-9959 DAN HOECHERL 4405 S DEERWOOD DR Low/High rate: 3,222/3,222 DEVELOPMENTALLY DISABLED County: MILWAUKEE NEW BERLIN WI 53151 Initial License: 12/02/1994 EMOTIONALLY DISTURBED/MENTAL PHYSICALLY DISABLED ROGERS MEMORIAL HOSPITAL WEST ALLIS RECOVERY ROGERS MEMORIAL HOSPITAL INC Type: CBRF ALCOHOL/DRUG DEPENDENT (262) 646-4411 Class: AA 11101 W LINCOLN AVE EMOTIONALLY DISTURBED/MENTAL WEST ALLIS WI 53227 TERESA SCHULTZ Gender - Capacity: M/F - 28 (262) 646-1123 KIMBERLY EFFERTZ 34700 VALLEY RD Low/High rate: 28,560/28,560 County: MILWAUKEE OCONOMOWOC WI 53066 Initial License: 07/10/2019

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 23 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

ROOT RIVER HAVEN (0014968) BRYANT HOMES LLC Type: CBRF HCBS COMPLIANT (414) 241-7067 Class: AA 3161 S 112TH ST DEVELOPMENTALLY DISABLED WEST ALLIS WI 53227 CANDACE DAHLKE Gender - Capacity: M/F - 8 (414) 321-5960 CANDACE DAHLKE 12501 W NEEDHAM DRIVE Low/High rate: 3,700/3,752 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE NEW BERLIN WI 53132 Initial License: 03/11/2014 IRREVERSIBLE DEMENTIA/ALZHEIM TRAUMATIC BRAIN INJURY RUBY CASTLE (0015522) Castle Senior Living Inc Type: CBRF HCBS COMPLIANT (414) 607-3776 Class: CNA 1234 S 112 Street ADVANCED AGED West Allis WI 53214 Kristopher Kiefer Gender - Capacity: M/F - 8 (414) 607-3776 MICHELLE GREEN 1234 S 112 Street Low/High rate: 3,800/5,000 DEVELOPMENTALLY DISABLED County: MILWAUKEE West Allis WI 53214 Initial License: 02/19/2015 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TERMINALLY ILL TRAUMATIC BRAIN INJURY SAINT JOHNS ON THE LAKE (0017822) SAINT JOHNS COMMUNITIES INC Type: CBRF ADVANCED AGED (414) 831-6880 Class: CNA 1858 N PROSPECT AVE IRREVERSIBLE DEMENTIA/ALZHEIM MILWAUKEE WI 53202 JOHN GEORGE Gender - Capacity: M/F - 60 (414) 272-2022 JOHN GEORGE 1840 N PROSPECT AVE Low/High rate: 6,560/8,110 PHYSICALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53202 Initial License: 01/08/2020 SERENITY BLESSED HOME (0017413) SERENITY BLESSED HOME LLC Type: CBRF HCBS COMPLIANT (414) 308-0807 Class: CNA 7937 W HOLMES AVE ADVANCED AGED MILWAUKEE WI 53220 MAHMOUD RAYYAN Gender - Capacity: M/F - 8 (414) 308-0807 ESLAM RAYYAN 7937 W HOLMES AVE Low/High rate: 5,500/7,500 DEVELOPMENTALLY DISABLED County: MILWAUKEE GREENDALE WI 53220 Initial License: 01/21/2020 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY SIENNA CASTLE (0015519) Castle Senior Living Inc Type: CBRF HCBS COMPLIANT (414) 427-1655 Class: CNA 9640 W. Layton Avenue ADVANCED AGED Greenfield WI 53228 MICHELLE GREEN Gender - Capacity: M/F - 8 (414) 529-9910 MICHELLE GREEN 13050 W CLEVELAND AVE Low/High rate: 4,200/5,000 DEVELOPMENTALLY DISABLED County: MILWAUKEE NEW BERLIN WI 53131 Initial License: 02/19/2015 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY SILVER VIEW LLC (0012742) SILVER VIEW LLC Type: CBRF HCBS COMPLIANT (262) 989-5382 Class: CNA 9215 W SILVER SPRING DR ADVANCED AGED MILWAUKEE WI 53225 MARY FILLER Gender - Capacity: M/F - 23 (414) 464-0557 DESNY ESTES 19913 SPRING ST Low/High rate: 2,800/3,700 DEVELOPMENTALLY DISABLED County: MILWAUKEE UNION GROVE WI 53182 Initial License: 04/08/2009 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING

SILVERADO NORTH SHORE (0017408) SILVERADO NORTH SHORE LLC Type: CBRF ADVANCED AGED 7800 N GREEN BAY RD (949) 240-7200 Class: CNA GLENDALE WI 53217 ERIN GUTSMIEDL Gender - Capacity: M/F - 85 (412) 269-6598 ERIN GUTSMIEDL 6400 OAK CANYON STE 200 Low/High rate: 7,500/11,100 County: MILWAUKEE IRVINE CA 92618 Initial License: 08/16/2018

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 24 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

SKY RESIDENTIAL FRANKLIN (0012151) SKY RESIDENTIAL SERVICES INC Type: CBRF HCBS COMPLIANT (414) 534-2979 Class: CNA 8104 S 35TH ST ADVANCED AGED FRANKLIN WI 53132 KIM NGUYEN Gender - Capacity: M/F - 6 (414) 421-1886 KIM NGUYEN N94 W20846 SCHLEI RD Low/High rate: 5,740/7,750 DEVELOPMENTALLY DISABLED County: MILWAUKEE MENOMONEE FALLS WI 53051 Initial License: 11/01/2007 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TERMINALLY ILL TRAUMATIC BRAIN INJURY SOUTH SHORE HOUSE (0016639) SS L2S OPERATIONS LLC Type: CBRF ADVANCED AGED (309) 368-1825 Class: AS 6168 S SWIFT AVE DEVELOPMENTALLY DISABLED CUDAHY WI 53110 DANIELLE MOREY Gender - Capacity: M/F - 8 (414) 762-6005 DANIELLE MOREY 8141 FOLEY ROAD Low/High rate: 3,400/4,000 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE RACINE WI 53402 Initial License: 06/20/2017 ST ANNES HOME FOR THE ELDERLY CBRF (0012345) ST ANNES HOME FOR THE ELDERLY MILWAUKE Type: CBRF ADVANCED AGED (414) 463-7570 Class: CNA 3800 N 92ND ST IRREVERSIBLE DEMENTIA/ALZHEIM MILWAUKEE WI 53222 JANET KRAHN Gender - Capacity: M/F - 55 (414) 463-7570 JANET KRAHN 3800 N 92ND ST Low/High rate: 5,100/6,400 County: MILWAUKEE MILWAUKEE WI 53222 Initial License: 03/31/2009

ST ANNES MISSION COURT CBRF (0015711) ST ANNES HOME FOR THE ELDERLY MILW INC Type: CBRF ADVANCED AGED (414) 463-7570 Class: CNA 3800 N 92ND STREET IRREVERSIBLE DEMENTIA/ALZHEIM MILWAUKEE WI 53222 JANET KRAHN Gender - Capacity: M/F - 28 (414) 463-7570 JANET KRAHN 3800 N 92ND STREET Low/High rate: 5,100/5,700 PHYSICALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53222 Initial License: 09/28/2015 PUBLIC FUNDING TERMINALLY ILL ST CAMILLUS (0011293) SAN CAMILLO INC Type: CBRF HCBS COMPLIANT (414) 258-1814 Class: CNA 10101 W WISCONSIN AVE ADVANCED AGED WAUWATOSA WI 53226 BRANDON LUKE Gender - Capacity: M/F - 86 (414) 258-1814 SHANNON ANGELL 10101 W WISCONSIN AVE Low/High rate: 5,235/7,180 PUBLIC FUNDING County: MILWAUKEE WAUWATOSA WI 53226 Initial License: 01/12/2006 ST CAMILLUS MEMORY CARE NORTH RESIDENCE (00168 ST CAMILLUS HEALTH CENTER INC Type: CBRF ADVANCED AGED (414) 258-1814 Class: CNA 10201 W WISCONSIN AVE IRREVERSIBLE DEMENTIA/ALZHEIM WAUWATOSA WI 53226 COURTNEY WILSON Gender - Capacity: M/F - 65 (414) 258-1814 COURTNEY WILSON 10201 W WISCONSIN AVE Low/High rate: 7,115/9,675 County: MILWAUKEE WAUWATOSA WI 53226 Initial License: 02/16/2018 ST JOHNS MANOR (0017906) BUZARG LLC Type: CBRF HCBS COMPLIANT (608) 239-4984 Class: CS 812 MARQUETTE AVENUE ADVANCED AGED SOUTH MILWAUKEE WI 53172 MOHAMMED HASHIM-WARIS Gender - Capacity: M/F - 27 (414) 762-2511 MOHAMMED HASHIM-WARIS 21 PRAIRIE HILL COURT Low/High rate: 3,000/5,000 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE MADISON WI 53719 Initial License: 01/24/2020 PHYSICALLY DISABLED ST MARYS MANOR (0015178) SOUTH MILWAUKEE COMMUNITY LIVING CENTE Type: CBRF HCBS COMPLIANT (414) 208-6678 Class: CNA 1313 MISSOURI AVENUE ADVANCED AGED SOUTH MILWAUKEE WI 53172 KRISTIN BUCEK Gender - Capacity: M/F - 17 (414) 762-8026 KRISTIN BUCEK 22218 W 7 MILE ROAD Low/High rate: 3,500/3,600 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE FRANKSVILLE WI 53126 Initial License: 10/01/2014 PUBLIC FUNDING

ST RITA SQUARE I (0018202) CAPRI COMMUNITIES LLC Type: CBRF ADVANCED AGED (262) 798-1224 Class: CNA 728 EAST PLEASANT STREET IRREVERSIBLE DEMENTIA/ALZHEIM MILWAUKEE WI 53202 GLEN CHOBAN Gender - Capacity: M/F - 22 (414) 485-6600 TYLER PALZKILL 20875 CROSSROADS CIRCLE Low/High rate: 3,575/9,475 PHYSICALLY DISABLED County: MILWAUKEE WAUKESHA WI 53186 Initial License: 08/20/2020 TERMINALLY ILL ST RITA SQUARE II (0018203) CAPRI COMMUNITIES LLC Type: CBRF HCBS COMPLIANT (262) 798-1224 Class: CNA 728 EAST PLEASANT STREET ADVANCED AGED MILWAUKEE WI 53202 GLEN CHOBAN Gender - Capacity: M/F - 28 (414) 485-6600 TYLER PALZKILL 20875 CROSSROADS CIRCLE Low/High rate: 6,385/9,125 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE WAUKESHA WI 53186 Initial License: 08/20/2020 PHYSICALLY DISABLED TERMINALLY ILL

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 25 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

STONERIDGE (0018518) BROADSTEP WISCONSIN INC Type: CBRF ADVANCED AGED (414) 640-9010 Class: CNA 8511 NORTH STONERIDGE COURT DEVELOPMENTALLY DISABLED BROWN DEER WI 53223 JESSICA ZOCH Gender - Capacity: M/F - 8 (414) 358-2578 JESSICA ZOCH 1205 SOUTH 70TH STREET Low/High rate: EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE WEST ALLIS WI 53214 Initial License: 06/01/2021 PHYSICALLY DISABLED TRAUMATIC BRAIN INJURY SUITES AT GREENFIELD (THE) (0016898) THE SUITES AT GREENFIELD Type: CBRF ADVANCED AGED (414) 282-1300 Class: CNA 5790 S 27TH ST EMOTIONALLY DISTURBED/MENTAL MILWAUKEE WI 53221 ANNETTE BOHMAN Gender - Capacity: M/F - 49 (414) 282-1300 ANNETTE BOHMAN 5790 S 27TH ST Low/High rate: 4,000/6,000 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE MILWAUKEE WI 53221 Initial License: 02/22/2018 PHYSICALLY DISABLED TERMINALLY ILL SYLVAN CROSSINGS AT CREEKSIDE ESTATES (0009038) TOUCHSTONE SENIOR SERVICES LLC Type: CBRF HCBS COMPLIANT (608) 276-3449 Class: CNA 6180 S CREEKSIDE DR ADVANCED AGED CUDAHY WI 53110 DANIEL FLEMING Gender - Capacity: M/F - 20 (414) 762-7408 SHELLEY BECKETT 2960 TRIVERTON PIKE Low/High rate: 3,950/5,400 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE MADISON WI 53711 Initial License: 09/30/2000 PUBLIC FUNDING TERMINALLY ILL TALL OAKS OF WEST ALLIS (0018221) LEUROCK HOLDINGS LLC Type: CBRF HCBS COMPLIANT (414) 628-9030 Class: CS 2825 SOUTH WAUKESHA ROAD ADVANCED AGED WEST ALLIS WI 53227 CHRIS OCHI Gender - Capacity: M/F - 20 (414) 321-7101 CHRIS OCHI 9600 WEST BARNARD AVENUE Low/High rate: 5,000/12,000 DEVELOPMENTALLY DISABLED County: MILWAUKEE GREENFIELD WI 53228 Initial License: 09/15/2020 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM THIS HOUSE IS A HOME CBRF (0017247) THIS HOUSE IS A HOME CBRF LLC Type: CBRF DEVELOPMENTALLY DISABLED (414) 745-4392 Class: CNA 10135 W HAMPTON AVE STE 1 EMOTIONALLY DISTURBED/MENTAL MILWAUKEE WI 53225 KAI TRIMBLE Gender - Capacity: M/F - 8 (414) 975-2658 KAI TRIMBLE 10135 W Hampton Ave STE 1 Low/High rate: 3,000/15,000 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE Milwaukee WI 53225 Initial License: 12/01/2019 PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY TREE OF LIFE GREENFIELD (0016957) TREE OF LIFE ASSISTED LIVING GREENFIELD L Type: CBRF HCBS COMPLIANT (414) 213-2066 Class: CNA 3171 S 100TH ST ADVANCED AGED GREENFIELD WI 53227 ANA ROJAS Gender - Capacity: M/F - 8 (262) 886-2007 LUCERO AYALA 6507 OPEN MEADOW RD Low/High rate: 4,212/6,000 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE CALEDONIA WI 53402 Initial License: 08/10/2018 PHYSICALLY DISABLED TRINITY HEALTH CARE INC (0009472) TRINITY HEALTH CARE INC Type: CBRF HCBS COMPLIANT (414) 466-6664 Class: CNA 5605 W CUSTER AVE ADVANCED AGED MILWAUKEE WI 53218 FOLAKE ROSE ADENIYI Gender - Capacity: F - 6 (414) 466-6664 FOLAKE ROSE ADENIYI 5605 W CUSTER AVE Low/High rate: 3,151/3,900 DEVELOPMENTALLY DISABLED County: MILWAUKEE MILWAUKEE WI 53218 Initial License: 01/23/2002 PHYSICALLY DISABLED

TRINITY HOME LLC (0018409) TRINITY HOME LLC Type: CBRF ADVANCED AGED (309) 368-1825 Class: CNA 10320 SOUTH HUMMINGBIRD LANE DEVELOPMENTALLY DISABLED OAK CREEK WI 53154 DANIELLE WESTCOMB Gender - Capacity: M/F - 8 (414) 762-3763 DANIELLE WESTCOMB 8141 FOLEY ROAD Low/High rate: 3,000/4,000 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE OAK CREEK WI 53402 Initial License: 03/01/2021 PHYSICALLY DISABLED TRAUMATIC BRAIN INJURY UCC LATINAS UNIDAS (0014682) UNITED COMMUNITY CENTER, INC Type: CBRF ALCOHOL/DRUG DEPENDENT 1123 SOUTH 6TH STREET (414) 384-3100 Class: AA MILWAUKEE WI 53204 JUAN RUIZ Gender - Capacity: F - 16 (414) 643-8530 JUAN RUIZ 1028 S 9TH STREET Low/High rate: 4,540 County: MILWAUKEE MILWAUKEE WI 53204 Initial License: 01/31/2014 UNCAS HOUSE (0015900) MATT TALBOT RECOVERY SERVICES INC Type: CBRF EMOTIONALLY DISTURBED/MENTAL (414) 342-5474 Class: CNA 429 WEST UNCAS AVENUE PUBLIC FUNDING MILWAUKEE WI 53207 KARL RAJANI Gender - Capacity: M - 8 (414) 510-7668 ANTONEO DESHAZOR PO BOX 20007 Low/High rate: 600/18,000 County: MILWAUKEE GREENFIELD WI 53220-0007 Initial License: 12/28/2015

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 26 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

UNITED COMMUNITY CENTER ART 1 (0012894) UNITED COMMUNITY CENTER INC Type: CBRF ALCOHOL/DRUG DEPENDENT (414) 384-3100 Class: AA 604 W SCOTT ST PUBLIC FUNDING MILWAUKEE WI 53204 JUAN A. RUIZ Gender - Capacity: M - 15 (414) 643-8530 JUAN RUIZ 1028 S 9TH ST Low/High rate: 4,440/4,440 County: MILWAUKEE MILWAUKEE WI 53204 Initial License: 08/13/2009

UNITED COMMUNITY CENTER LATINAS UNIDAS 2 (00165 UNITED COMMUNITY CENTER Type: CBRF ALCOHOL/DRUG DEPENDENT 614 W SCOTT ST (414) 384-3100 Class: AA MILWAUKEE WI 53204 JUAN RUIZ Gender - Capacity: F - 16 (414) 643-8530 JUAN RUIZ 1028 S 9TH ST Low/High rate: 146/250 County: MILWAUKEE MILWAUKEE WI 53204 Initial License: 04/27/2017 VILLA ST FRANCIS (310120) VILLA ST FRANCIS INC Type: CBRF ADVANCED AGED (414) 649-2888 Class: CNA 1910 W OHIO AVE IRREVERSIBLE DEMENTIA/ALZHEIM MILWAUKEE WI 53215 SUSAN SEEGERT Gender - Capacity: M/F - 134 (414) 649-2888 SUSAN SEEGERT 1910 W OHIO AVE Low/High rate: 3,300/8,644 PUBLIC FUNDING County: MILWAUKEE MILWAUKEE WI 53215 Initial License: 10/18/1990 TRAUMATIC BRAIN INJURY Association Approval: LeadingAge Wisconsin VILLAGE AT MANOR PARK PALMER HOUSE (310053) METHODIST MANOR INC Type: CBRF HCBS COMPLIANT (414) 607-4100 Class: CNA 3023 S 84TH ST ADVANCED AGED WEST ALLIS WI 53227 SUSAN BORKOWSKI Gender - Capacity: M/F - 130 (414) 607-4100 Briana Weyker 3023 S 84TH ST Low/High rate: 3,750/4,425 IRREVERSIBLE DEMENTIA/ALZHEIM County: MILWAUKEE WEST ALLIS WI 53227 Initial License: 04/01/1980 PUBLIC FUNDING Association Approval: LeadingAge Wisconsin VILLARD CRC (0015017) MCFI dba WHOLE HEALTH CLINICAL GROUP Type: CBRF ALCOHOL/DRUG DEPENDENT (414) 459-3014 Class: AA 5409 VILLARD AVENUE DEVELOPMENTALLY DISABLED MILWAUKEE WI 53225 JOHN CHIANELLI Gender - Capacity: M/F - 12 (414) 476-9675 JOHN CHIANELLI 932 S 60TH STREET Low/High rate: 13,500/13,500 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE MILWAUKEE WI 53214 Initial License: 08/11/2014 PHYSICALLY DISABLED TRAUMATIC BRAIN INJURY

WABASH HOME (0017608) WILLOWBROOK SENIOR LIVING LLC Type: CBRF HCBS COMPLIANT (217) 553-3065 Class: AS 7716 W WABASH CT ADVANCED AGED MILWAUKEE WI 53223 KUROSH DEJGOSHA Gender - Capacity: M/F - 20 (414) 797-2343 Kurosh Dejosha 1345 N JEFFERSON ST STE 328 Low/High rate: 3,000/6,000 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE MILWAUKEE WI 53202 Initial License: 05/01/2019 PUBLIC FUNDING WAHNER HOUSE (310648) MT CASTLE CORPORATION Type: CBRF HCBS COMPLIANT (414) 540-6479 Class: CNA 5765 W WAHNER DR DEVELOPMENTALLY DISABLED BROWN DEER WI 53223 SCOTT WILDER Gender - Capacity: M/F - 5 (414) 355-3364 SCOTT WILDER 3808 W ELM ST Low/High rate: 3,000/3,700 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE MILWAUKEE WI 53209 Initial License: 10/02/1997 WASHINGTON HEIGHTS MANOR (0012706) WORLDWIDE ESTATE INC Type: CBRF HCBS COMPLIANT (262) 389-1461 Class: AA 1506 1510 N 48TH ST ADVANCED AGED MILWAUKEE WI 53208 RAKESH PATEL Gender - Capacity: M/F - 8 (262) 389-1461 RAKESH/SHANNON PATEL PO BOX 601 Low/High rate: 3,200/7,500 DEVELOPMENTALLY DISABLED County: MILWAUKEE BUTLER WI 53007 Initial License: 03/30/2009 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM WASHINGTON HEIGHTS MANOR II (0016797) WORLDWIDE ESTATE INC Type: CBRF ADVANCED AGED (262) 389-1461 Class: AA 10620 W GREENWOOD TERRACE DEVELOPMENTALLY DISABLED MILWAUKEE WI 53224 RAKESH PATEL Gender - Capacity: M/F - 8 (262) 389-1461 RAKESH PATEL 12420 HAMPTON AVE PO BOX 601 Low/High rate: 3,000/8,000 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE BUTLER WI 53007 Initial License: 08/15/2017 IRREVERSIBLE DEMENTIA/ALZHEIM TRAUMATIC BRAIN INJURY WATERS OF OAK CREEK (THE) (0017496) THE WATERS OF OAK CREEK LLC Type: CBRF ADVANCED AGED (952) 358-5100 Class: CNA 8000 S MARKET ST IRREVERSIBLE DEMENTIA/ALZHEIM OAK CREEK WI 53154 LORI STROMMEN Gender - Capacity: M/F - 16 (414) 574-0900 DANIEL BUDRECK 1600 HOPKINS CROSSROADS Low/High rate: 3,500/9,500 County: MILWAUKEE MINNETONKA MN 55305 Initial License: 03/29/2019

*The Community Based Residential Facility (CBRF) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/30/2021 of Health Services UdtdPage 27 Public Directory By Facility Name For Facility Type CBRF Milwaukee

Facility Name and Address Licensee Name and Phone Phone Number / Contact Person Mailing Address Specialty Programs

WHITE BIRCH TERRACE (310653) ATHENA SPS LLC WHITE BIRCH TERRACE Type: CBRF HCBS COMPLIANT (414) 247-1771 Class: ANA 8500 N GREENVALE RD ADVANCED AGED BAYSIDE WI 53217 PATRICIA WESTPHAL Gender - Capacity: M/F - 8 (414) 247-1771 PATRICIA WESTPHAL 8500 N GREENVALE RD Low/High rate: 3,789/5,000 DEVELOPMENTALLY DISABLED County: MILWAUKEE BAYSIDE WI 53217 Initial License: 01/14/1998 EMOTIONALLY DISTURBED/MENTAL PHYSICALLY DISABLED PUBLIC FUNDING WHOLE HEALTH CLINICAL GROUP (0018128) MCFI dba WHOLE HEALTH CLINICAL GROUP Type: CBRF ALCOHOL/DRUG DEPENDENT (414) 476-9675 Class: AA 5566 NORTH 69TH STREET DEVELOPMENTALLY DISABLED MILWAUKEE WI 53203 JOHN CHIANELLI Gender - Capacity: M/F - 12 (414) 476-9631 JOHN CHIANELLI 932 SOUTH 60TH STREET Low/High rate: 0/0 EMOTIONALLY DISTURBED/MENTAL County: MILWAUKEE MILWAUKEE WI 53214 Initial License: 02/25/2021 PHYSICALLY DISABLED TRAUMATIC BRAIN INJURY WILLOWGLEN ACADEMY HOWARD HOUSE (310672) PHOENIX CARE SYSTEMS INC Type: CBRF HCBS COMPLIANT (414) 527-6970 Class: CA 3959 3961 S 51ST ST DEVELOPMENTALLY DISABLED MILWAUKEE WI 53220 JESSICA ZOCH Gender - Capacity: M/F - 8 (414) 527-6970 JESSICA ZOCH 5555 N 51 ST BLVD Low/High rate: 4,224/8,332 County: MILWAUKEE MILWAUKEE WI 53218 Initial License: 05/01/1992

*The Community Based Residential Facility (CBRF) directory is updated monthly.