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Department Division of Quality Assurance Directory 08/31/2021 of Health Services UdtdPage 1 Public Directory By Facility Name For Facility Type AFH Brown

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

ANITA ADULT FAMILY (0014295) ANITA CHRISTENSEN Type: AFH HCBS COMPLIANT (920) 434-2581 Class: 1849 BURNS AVE DEVELOPMENTALLY DISABLED WI 54303 ANITA CHRISTENSEN Gender - Capacity: M/F - 4 (920) 434-2581 ANITA CHRISTENSEN 1849 BURNS AVE Low/High rate: 2,572/3,508 PUBLIC FUNDING : BROWN GREEN BAY WI 54303 Initial License: 10/01/2012 BRENNER PLACE (0012462) BRUSS SUPPORTIVE COMMUNITY LIVING INC Type: AFH HCBS COMPLIANT (920) 606-0588 Class: 2461 BRENNER PL DEVELOPMENTALLY DISABLED GREEN BAY WI 54301 RON BRUSS Gender - Capacity: M - 4 (920) 857-9772 RON BRUSS 3501 DELAHAUT ST Low/High rate: 3,366/5,295 EMOTIONALLY DISTURBED/MENTAL County: BROWN GREEN BAY WI 54301 Initial License: 08/11/2008 PUBLIC FUNDING BROTOLOC WILDWOOD AFH (0011371) BROTOLOC HEALTH CARE SYSTEMS INC DBA B Type: AFH HCBS COMPLIANT (715) 832-5085 Class: 2004 WILDWOOD DEVELOPMENTALLY DISABLED SUAMICO WI 54173 LINDSAY FARRELL-GOVEK Gender - Capacity: M/F - 4 (920) 434-3632 LINDSAY FARRELL-GOVEK PO BOX 400 Low/High rate: 6,309/6,309 EMOTIONALLY DISTURBED/MENTAL County: BROWN HORTONVILLE WI 54944 Initial License: 03/20/2006 PHYSICALLY DISABLED PUBLIC FUNDING TRAUMATIC BRAIN INJURY CARDINAL LANE (0010958) INNOVATIVE SERVICES INC Type: AFH HCBS COMPLIANT (920) 431-0962 Class: 1473 CARDINAL LANE ADVANCED AGED HOWARD WI 54313 JILL ROWLAND Gender - Capacity: M/F - 4 (920) 434-5991 STEPHANIE ANDERSON 2321 SAN LUIS PLACE Low/High rate: 5,215/5,624 DEVELOPMENTALLY DISABLED County: BROWN GREEN BAY WI 54304 Initial License: 05/27/2005 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TERMINALLY ILL TRAUMATIC BRAIN INJURY CHARITY LANE ADULT FAMILY HOME (0013368) INNOVATIVE SERVICES INC Type: AFH HCBS COMPLIANT (920) 431-0962 Class: 352 CHARITY LN ADVANCED AGED GREEN BAY WI 54311 JILL ROWLAND Gender - Capacity: M/F - 4 (920) 465-3661 STEPHANIE ANDERSON 2321 SAN LUIS PLACE Low/High rate: 5,788/5,859 DEVELOPMENTALLY DISABLED County: BROWN GREEN BAY WI 54304 Initial License: 06/29/2010 PHYSICALLY DISABLED PUBLIC FUNDING TRAUMATIC BRAIN INJURY CHESTNUT HOME (0016130) BRUSS SUPPORTIVE COMMUNITY LIVING INC Type: AFH DEVELOPMENTALLY DISABLED (920) 606-0588 Class: 611 N CHESTNUT AVE PUBLIC FUNDING GREEN BAY WI 54303 RONALD BRUSS Gender - Capacity: M/F - 4 (920) 606-0588 RONALD BRUSS 3501 DELAHAUT STREET Low/High rate: 3,366/5,295 County: BROWN GREEN BAY WI 54301 Initial License: 10/11/2016 CLARITY CARE PATRIOT WAY (0010986) CLARITY CARE INC Type: AFH HCBS COMPLIANT (920) 236-6560 Class: 1711-1713 PATRIOT WAY ADVANCED AGED DE PERE WI 54115 BARB SALEMI Gender - Capacity: M/F - 4 (920) 339-0156 RACHEL KLITZKE 424 AVE Low/High rate: 6,183/6,719 DEVELOPMENTALLY DISABLED County: BROWN OSHKOSH WI 54901 Initial License: 05/10/2005 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TRAUMATIC BRAIN INJURY

CORNERSTONE ADULT FAMILY HOME (0011330) BOLL ADULT CARE CONCEPTS INC Type: AFH HCBS COMPLIANT (920) 412-5444 Class: 335 GRAASS STREET ADVANCED AGED GREEN BAY WI 54301 MARIA BOLL Gender - Capacity: M/F - 4 (920) 412-5444 MARIA JEFFREY BOLL 1112 DAISY LN Low/High rate: 6,200/7,500 ALCOHOL/DRUG DEPENDENT County: BROWN GREEN BAY WI 54304 Initial License: 03/27/2006 DEVELOPMENTALLY DISABLED EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TERMINALLY ILL

*The Adult Family Home (AFH) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/31/2021 of Health Services UdtdPage 2 Public Directory By Facility Name For Facility Type AFH Brown

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

CURO CARE LLC ROCKDALE ADULT FAMILY HOME (0014 CURO CARE LLC Type: AFH HCBS COMPLIANT (920) 639-1060 Class: 1410 ROCKDALE ST DEVELOPMENTALLY DISABLED GREEN BAY WI 54304 DIANE DUGAN Gender - Capacity: M/F - 4 (920) 544-8334 DIANE WEYENBERG 1410 ROCKDALE ST Low/High rate: 6,276/8,299 EMOTIONALLY DISTURBED/MENTAL County: BROWN GREEN BAY WI 54304 Initial License: 02/09/2012 TRAUMATIC BRAIN INJURY CURO CARE MANDALAY (0018025) CURO CARE LLC Type: AFH HCBS COMPLIANT (920) 639-1060 Class: 863 MANDALAY TERRACE DEVELOPMENTALLY DISABLED DEPERE WI 54115 DIANE DUGAN Gender - Capacity: M/F - 4 (920) 639-1060 DIANE DUGAN 802 BOMIER STREET Low/High rate: 5,000/6,500 TRAUMATIC BRAIN INJURY County: BROWN DEPERE WI 54115 Initial License: 04/10/2020 CURO CARE ROLLING GREEN 1 (0016615) Curo Care LLC Type: AFH HCBS COMPLIANT (920) 544-8334 Class: 912 ROLLING GREEN DRIVE ADVANCED AGED GREEN BAY WI 54313 DIANE DUGAN Gender - Capacity: M/F - 4 (920) 544-5367 DIANE DUGAN 1410 ROCKDALE STREET Low/High rate: 6,250/6,250 DEVELOPMENTALLY DISABLED County: BROWN GREEN BAY WI 54304 Initial License: 04/13/2017 EMOTIONALLY DISTURBED/MENTAL TRAUMATIC BRAIN INJURY DEBRA PROGRAM (0018196) UNLIMITED POSSIBILITIES Type: AFH HCBS COMPLIANT (920) 455-0076 Class: 1953 DICKINSON ROAD ADVANCED AGED DE PERE WI 54115 ERICA SWARTZ Gender - Capacity: M/F - 4 (920) 351-3149 ERICA SWARTZ 1221 BELLEVUE STREET SUITE 203 Low/High rate: 4,500/24,000 ALCOHOL/DRUG DEPENDENT County: BROWN GREEN BAY WI 54302 Initial License: 12/10/2020 DEVELOPMENTALLY DISABLED EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TERMINALLY ILL TRAUMATIC BRAIN INJURY EAGLE VIEW AFH (0011932) INNOVATIVE SERVICES INC Type: AFH HCBS COMPLIANT (920) 431-0962 Class: 1640 1642 GABERTFIELD CT ADVANCED AGED SUAMICO WI 54173-8157 JILL ROWLAND Gender - Capacity: M/F - 4 (920) 434-4161 STEPHANIE ANDERSON 2321 SAN LUIS PLACE Low/High rate: 5,636/6,244 DEVELOPMENTALLY DISABLED County: BROWN GREEN BAY WI 54304 Initial License: 04/27/2007 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TERMINALLY ILL TRAUMATIC BRAIN INJURY EMPOWERMENT OPTIONS AFH (0009645) EMPOWERMENT OPTIONS Type: AFH DEVELOPMENTALLY DISABLED (920) 366-1187 Class: 3045 COLLEEN DR EMOTIONALLY DISTURBED/MENTAL GREEN BAY WI 54311 MICHAEL G MELOTTE II Gender - Capacity: M/F - 4 (920) 884-9863 MICHAEL G MELOTTE 3045 COLLEEN DR Low/High rate: 4,726/5,985 TRAUMATIC BRAIN INJURY County: BROWN GREEN BAY WI 54311 Initial License: 06/11/2002 ENRICHED LIFESTYLES LLC (0016331) ENRICHED LIFESTYLES LLC Type: AFH HCBS COMPLIANT (920) 609-0353 Class: 1047 ST LAWRENCE DR DEVELOPMENTALLY DISABLED GREEN BAY WI 54311 KRISTA MELOTTE Gender - Capacity: M/F - 4 (920) 965-2989 KRISTA MELOTTE 445 MASTERS LANE Low/High rate: 5,000/8,000 EMOTIONALLY DISTURBED/MENTAL County: BROWN GREEN BAY WI 54311 Initial License: 12/08/2016 TRAUMATIC BRAIN INJURY ENRICHED LIFESTYLES LLC HEMLOCK (0017727) ENRICHED LIFESTYLES LLC Type: AFH HCBS COMPLIANT (920) 609-0353 Class: 2448 HEMLOCK ST DEVELOPMENTALLY DISABLED GREEN BAY WI 54311 KRISTA MELOTTE Gender - Capacity: M/F - 4 (920) 609-0353 KRISTA MELOTTE 455 MASTERS LN Low/High rate: 5,500/8,000 EMOTIONALLY DISTURBED/MENTAL County: BROWN GREEN BAY WI 54311 Initial License: 07/19/2019 TRAUMATIC BRAIN INJURY

*The Adult Family Home (AFH) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/31/2021 of Health Services UdtdPage 3 Public Directory By Facility Name For Facility Type AFH Brown

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

FOREST GLEN (0015660) CLARITY CARE INC Type: AFH HCBS COMPLIANT (920) 236-6560 Class: 1628 FOREST GLEN ADVANCED AGED GREEN BAY WI 54313 BARB SALEMI Gender - Capacity: M/F - 4 (920) 884-9574 RACHEL KLITZKE 424 WASHINGTON AVE Low/High rate: 3,596/6,210 DEVELOPMENTALLY DISABLED County: BROWN OSHKOSH WI 54901 Initial License: 07/13/2015 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TRAUMATIC BRAIN INJURY GARDEN PLACE (0013720) PRODUCTIVE LIVING SYSTEMS INC Type: AFH HCBS COMPLIANT (715) 831-3910 Class: 2464/2466 GARDEN HEIGHTS CT DEVELOPMENTALLY DISABLED GREEN BAY WI 54311 JENNY MAYVILLE Gender - Capacity: M/F - 4 (920) 857-3420 JENNY MAYVILLE 619 N LYNNDALE DRIVE Low/High rate: 8,263/8,263 EMOTIONALLY DISTURBED/MENTAL County: BROWN APPLETON WI 54914 Initial License: 05/03/2011 TRAUMATIC BRAIN INJURY GENUINE HEARTS LLC FOREST GLEN AFH (0016949) GENUINE HEARTS LLC Type: AFH DEVELOPMENTALLY DISABLED (920) 461-8138 Class: 1620 FOREST GLEN DR EMOTIONALLY DISTURBED/MENTAL GREEN BAY WI 54304 ABEL SALDANA Gender - Capacity: M/F - 4 (920) 461-8138 ABEL SALDANA 610 HOWARD ST Low/High rate: 6,200/8,200 PUBLIC FUNDING County: BROWN GREEN BAY WI 54303 Initial License: 04/25/2018 TRAUMATIC BRAIN INJURY GENUINE HEARTS LLC VALLEY VIEW AFH (0016606) GENUINE HEARTS LLC Type: AFH DEVELOPMENTALLY DISABLED (920) 227-1977 Class: 1189 VALLEY VIEW ROAD EMOTIONALLY DISTURBED/MENTAL ASHWAUBENON WI 54304 ABEL SALDANA Gender - Capacity: M/F - 4 (920) 227-1977 ABEL SALDANA 611 HOWARD STREET Low/High rate: 10,400/17,973 PUBLIC FUNDING County: BROWN GREEN BAY WI 54303 Initial License: 04/26/2017 TRAUMATIC BRAIN INJURY GLEN CREEK ADULT FAMILY HOME (0010591) BOLL ADULT CARE CONCEPTS INC Type: AFH HCBS COMPLIANT (920) 412-5444 Class: 1579 GLEN RD DEVELOPMENTALLY DISABLED GREEN BAY WI 54313 MARIA BOLL Gender - Capacity: M/F - 4 (920) 412-5444 MARIA BOLL 1112 DAISY LN Low/High rate: 6,200/7,500 EMOTIONALLY DISTURBED/MENTAL County: BROWN GREEN BAY WI 54304 Initial License: 06/03/2004 PUBLIC FUNDING GREEN ISLE HOME (0010935) INNOVATIVE SERVICES INC Type: AFH HCBS COMPLIANT (920) 431-0962 Class: 2679 GREEN ISLE CT ADVANCED AGED GREEN BAY WI 54301 JILL ROWLAND Gender - Capacity: M/F - 4 (920) 430-7290 STEPHANIE ANDERSON 2321 SAN LUIS PLACE Low/High rate: 5,392/6,001 DEVELOPMENTALLY DISABLED County: BROWN GREEN BAY WI 54304 Initial License: 04/28/2005 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TERMINALLY ILL TRAUMATIC BRAIN INJURY HANNAH II ADULT FAMILY HOME (0013038) INNOVATIVE SERVICES INC Type: AFH HCBS COMPLIANT (920) 431-0962 Class: 1276 HANNAH ST ADVANCED AGED GREEN BAY WI 54303 JILL ROWLAND Gender - Capacity: M/F - 4 (920) 406-6068 STEPHANIE ANDERSON 2321 SAN LUIS PLACE Low/High rate: 5,636/6,414 DEVELOPMENTALLY DISABLED County: BROWN GREEN BAY WI 54304 Initial License: 10/19/2009 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TERMINALLY ILL TRAUMATIC BRAIN INJURY HANNAH STREET ADULT FAMILY HOME (0012935) INNOVATIVE SERVICES INC Type: AFH HCBS COMPLIANT (920) 431-0962 Class: 1281 HANNAH ST ADVANCED AGED GREEN BAY WI 54303 JILL ROWLAND Gender - Capacity: M/F - 4 (920) 499-0272 STEPHANIE ANDERSON 2321 SAN LUIS PLACE Low/High rate: 5,279/5,794 DEVELOPMENTALLY DISABLED County: BROWN GREEN BAY WI 54304 Initial License: 08/04/2009 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED TERMINALLY ILL TRAUMATIC BRAIN INJURY

*The Adult Family Home (AFH) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/31/2021 of Health Services UdtdPage 4 Public Directory By Facility Name For Facility Type AFH Brown

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

HAPPY HOUSE (0016376) JEFFREY PAUL SMET Type: AFH HCBS COMPLIANT (920) 328-8912 Class: 722 S MONROE AVE ADVANCED AGED GREEN BAY WI 54301 JEFFREY PAUL SMET Gender - Capacity: M/F - 4 (920) 785-0642 JEFFREY PAUL SMET 722 S MONROE AVE Low/High rate: 2,000/4,000 DEVELOPMENTALLY DISABLED County: BROWN GREEN BAY WI 54301 Initial License: 02/02/2017 EMOTIONALLY DISTURBED/MENTAL PUBLIC FUNDING HIL CLAYTON PLACE (0011977) HOMES FOR INDEPENDENT LIVING OF WI LLC Type: AFH HCBS COMPLIANT (262) 569-5515 Class: 1009 CLAYTON PL DEVELOPMENTALLY DISABLED GREEN BAY WI 54302 ASHLEY WILLIAMS Gender - Capacity: M/F - 3 (920) 288-0411 LISA SCHWENDEMANN 1249 RUSSETT COURT Low/High rate: 11,312/11,312 PUBLIC FUNDING County: BROWN GREEN BAY WI 54313 Initial License: 06/01/2007 HIL COOPERS RUN (0018078) HOMES FOR INDEPENDENT LIVING OF WI LLC Type: AFH HCBS COMPLIANT (262) 569-5515 Class: 2460 FORESTVILLE DRIVE DEVELOPMENTALLY DISABLED GREEN BAY WI 54304 ASHLEY WILLIAMS Gender - Capacity: M/F - 4 (920) 857-3750 DAWN ZIEMENDORF 1249 RUSSETT COURT Low/High rate: 9,885/9,885 EMOTIONALLY DISTURBED/MENTAL County: BROWN GREEN BAY WI 54313 Initial License: 05/13/2020 HIL GLENHAVEN (0011024) HOMES FOR INDEPENDENT LIVING OF WI LLC Type: AFH HCBS COMPLIANT (262) 569-5515 Class: 518 E BRIAR LANE DEVELOPMENTALLY DISABLED GREEN BAY WI 54301 ASHLEY WILLIAMS Gender - Capacity: M/F - 4 (920) 337-1984 DAWN ZIEMENDORF 1249 RUSSETT COURT Low/High rate: 7,814/7,814 PUBLIC FUNDING County: BROWN GREEN BAY WI 54313 Initial License: 07/12/2005 HIL SANDRA (0017891) HOMES FOR INDEPENDENT LIVING OF WI LLC Type: AFH HCBS COMPLIANT (920) 499-2688 Class: 2633 SANDRA ROSE LN DEVELOPMENTALLY DISABLED NEW FRANKEN WI 54229 ASHLEY WILLIAMS Gender - Capacity: M/F - 3 (920) 438-9791 SHERRI BURESH 1249 RUSSETT COURT Low/High rate: 14,570/14,570 EMOTIONALLY DISTURBED/MENTAL County: BROWN GREEN BAY WI 54313 Initial License: 02/20/2020 PHYSICALLY DISABLED TRAUMATIC BRAIN INJURY HIL SHADE TREE (0009738) HOMES FOR INDEPENDENT LIVING OF WI LLC Type: AFH HCBS COMPLIANT (262) 569-5515 Class: 1216 ST AGNES DR DEVELOPMENTALLY DISABLED GREEN BAY WI 54304 ASHLEY WILLIAMS Gender - Capacity: M/F - 4 (920) 490-4723 DAWN ZIEMENDORF 1249 RUSSETT COURT Low/High rate: 14,211/14,211 EMOTIONALLY DISTURBED/MENTAL County: BROWN GREEN BAY WI 54313 Initial License: 02/18/2002 PUBLIC FUNDING HIL TURNER (0017847) HOMES FOR INDEPENDENT LIVING OF WI LLC Type: AFH HCBS COMPLIANT (920) 499-2688 Class: 3279 BITTERS CT DEVELOPMENTALLY DISABLED ALLOUEZ WI 54301 ASHLEY WILLIAMS Gender - Capacity: M/F - 4 (920) 983-0014 DAWN ZIEMENDORF 1249 RUSSETT COURT Low/High rate: 8,669/10,342 PHYSICALLY DISABLED County: BROWN GREEN BAY WI 54313 Initial License: 01/20/2020 TRAUMATIC BRAIN INJURY ILS DEUSTER HOME (0010237) IMPROVED LIVING SERVICES LLC Type: AFH HCBS COMPLIANT (920) 430-7392 Class: 6630 DEUSTER ST DEVELOPMENTALLY DISABLED GREENLEAF WI 54126 MICHAEL SR SIMON Gender - Capacity: M/F - 4 (920) 532-0605 WILLIAM JONES 999 N MILITARY AVE Low/High rate: 6,390/7,470 EMOTIONALLY DISTURBED/MENTAL County: BROWN GREEN BAY WI 54303 Initial License: 11/27/2003 TRAUMATIC BRAIN INJURY ILS FISK HOME (0013712) IMPROVED LIVING SERVICES LLC Type: AFH HCBS COMPLIANT (920) 430-7392 Class: 425 N FISK ST DEVELOPMENTALLY DISABLED GREEN BAY WI 54303 MICHAEL J SIMON SR Gender - Capacity: F - 4 (920) 430-7392 MICHAEL SIMON 999 N MILITARY AVE Low/High rate: 5,500/6,500 EMOTIONALLY DISTURBED/MENTAL County: BROWN GREEN BAY WI 54303 Initial License: 05/19/2011 TRAUMATIC BRAIN INJURY

ILS MORNING GLORY HOME (0011412) IMPROVED LIVING SERVICES LLC Type: AFH HCBS COMPLIANT (920) 430-7392 Class: 803 MORNING GLORY LANE DEVELOPMENTALLY DISABLED DE PERE WI 54115 MICHAEL J SIMON SR Gender - Capacity: M - 4 (920) 347-9299 MICHAEL SIMON SR 999 N MILITARY AVE Low/High rate: 5,475/6,326 EMOTIONALLY DISTURBED/MENTAL County: BROWN GREEN BAY WI 54303 Initial License: 05/01/2006 TRAUMATIC BRAIN INJURY JORDAN POINTE AFH (0012719) COMPASS DEVELOPMENT LLC Type: AFH HCBS COMPLIANT (920) 405-9010 Class: 1647 BIEMERT ST DEVELOPMENTALLY DISABLED GREEN BAY WI 54304 KEVIN LA POINTE Gender - Capacity: M/F - 4 (920) 965-1293 KEVIN LA POINTE 2029 TRUE LN Low/High rate: 5,200/6,000 PUBLIC FUNDING County: BROWN GREEN BAY WI 54304 Initial License: 03/13/2009 TRAUMATIC BRAIN INJURY

*The Adult Family Home (AFH) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/31/2021 of Health Services UdtdPage 5 Public Directory By Facility Name For Facility Type AFH Brown

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

KIMBROUGH ADULT FAMILY HOME LLC (0017811) KIMBROUGH ADULT FAMILY HOME LLC Type: AFH HCBS COMPLIANT (920) 632-4031 Class: 209 CAVIL WAY ALCOHOL/DRUG DEPENDENT DE PERE WI 54115 ELLEN KIMBROUGH Gender - Capacity: M/F - 4 (920) 632-4031 ELLEN KIMBROUGH 209 CAVIL WAY Low/High rate: 6,720/6,720 DEVELOPMENTALLY DISABLED County: BROWN DE PERE WI 54115 Initial License: 07/30/2020 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PUBLIC FUNDING TRAUMATIC BRAIN INJURY LASALLE HOUSE (0009984) PRODUCTIVE LIVING SYSTEMS INC Type: AFH HCBS COMPLIANT (715) 831-3910 Class: 2608 FINGER RD DEVELOPMENTALLY DISABLED GREEN BAY WI 54302 JENNY MAYVILLE Gender - Capacity: M/F - 4 (920) 468-1033 JENNY MAYVILLE 619 N LYNNDALE DRIVE Low/High rate: 7,361/7,361 EMOTIONALLY DISTURBED/MENTAL County: BROWN APPLETON WI 54911 Initial License: 03/03/2003 TRAUMATIC BRAIN INJURY LIMITLESS POSSIBILITIES ROSE (0016804) LIMITLESS POSSIBILITIES LLC Type: AFH DEVELOPMENTALLY DISABLED (920) 230-2550 Class: 164 ROSE LANE EMOTIONALLY DISTURBED/MENTAL GREEN BAY WI 54302 BILL GUDWER Gender - Capacity: M/F - 4 (920) 489-2440 KEVIN DIHEL 302 S BLUEMOUND DR Low/High rate: 9,885/12,896 TRAUMATIC BRAIN INJURY County: BROWN APPLETON WI 54914 Initial License: 09/11/2017 LIMITLESS POSSIBILITIES TROJAN (0016642) LIMITLESS POSSIBILITIES LLC Type: AFH DEVELOPMENTALLY DISABLED (920) 230-2550 Class: 2466 TROJAN DR EMOTIONALLY DISTURBED/MENTAL GREEN BAY WI 54304 BILL GUDWER Gender - Capacity: M/F - 4 KEVIN DIHEL 302 S BLUEMOUND DR Low/High rate: 7,604/10,129 PUBLIC FUNDING County: BROWN APPLETON WI 54914 Initial License: 07/26/2017 TRAUMATIC BRAIN INJURY LOCUST ADULT FAMILY HOME (0015598) CURO CARE LLC Type: AFH HCBS COMPLIANT (920) 639-1060 Class: 1030 LOCUST ST DEVELOPMENTALLY DISABLED GREEN BAY WI 54303 DIANE DUGAN Gender - Capacity: M/F - 4 (920) 544-5367 DIANE DUGAN 1410 ROCKDALE ST Low/High rate: 5,500/6,000 EMOTIONALLY DISTURBED/MENTAL County: BROWN GREEN BAY WI 54304 Initial License: 05/12/2015 TRAUMATIC BRAIN INJURY MIRAGE POINTE AFH (0011027) COMPASS DEVELOPMENT LLC Type: AFH HCBS COMPLIANT (920) 405-9010 Class: 1315 MIRAGE DR DEVELOPMENTALLY DISABLED GREEN BAY WI 54313 KEVIN LAPOINTE Gender - Capacity: M/F - 4 (920) 884-3284 KEVIN LAPOINTE PO BOX 11447 Low/High rate: 5,250/5,500 EMOTIONALLY DISTURBED/MENTAL County: BROWN GREEN BAY WI 54307-1447 Initial License: 06/24/2005 PUBLIC FUNDING TRAUMATIC BRAIN INJURY NATURAL LIVING ADULT FAMILY HOME LLC (0018210) NATURAL LIVING ADULT FAMILY HOME LLC Type: AFH HCBS COMPLIANT (920) 680-2374 Class: 660 DOST COURT DEVELOPMENTALLY DISABLED GREEN BAY WI 54311 JORDAN BERG Gender - Capacity: M/F - 4 (920) 857-3480 JORDAN BERG 745 LONGVIEW AVENUE Low/High rate: 4,200/6,000 EMOTIONALLY DISTURBED/MENTAL County: BROWN GREEN BAY WI 54301 Initial License: 11/02/2020 TRAUMATIC BRAIN INJURY NEMETZ ADULT FAMILY HOME (0009605) NEMETZ ADULT FAMILY HOME Type: AFH HCBS COMPLIANT (920) 498-3446 Class: 1124 KELLOGG ST DEVELOPMENTALLY DISABLED GREEN BAY WI 54303 CHRISTINA NEMETZ Gender - Capacity: F - 4 (920) 498-3446 CHRISTINA NEMETZ 1124 KELLOGG ST Low/High rate: 1,500/3,000 County: BROWN GREEN BAY WI 54303 Initial License: 04/16/2002 NEW BEGINNINGS (0013855) HAUGEN MARTHA PARMENTIER PATRICK Type: AFH HCBS COMPLIANT (920) 819-0546 Class: 3208 LIBAL ST DEVELOPMENTALLY DISABLED GREEN BAY WI 54301 PATRICK PARMENTIER Gender - Capacity: M/F - 4 (920) 819-0546 PATRICK PARMENTIER 3208 LIBAL ST Low/High rate: 1,600/2,800 EMOTIONALLY DISTURBED/MENTAL County: BROWN GREEN BAY WI 54301 Initial License: 09/26/2011 TRAUMATIC BRAIN INJURY NEWBERRY HILL (0012223) INNOVATIVE SERVICES INC Type: AFH HCBS COMPLIANT (920) 431-0962 Class: 420 MENLO PARK RD ADVANCED AGED GREEN BAY WI 54302 JILL ROWLAND Gender - Capacity: M/F - 4 (920) 593-2856 STEPHANIE ANDERSON 2321 SAN LUIS PLACE Low/High rate: 6,501/6,926 DEVELOPMENTALLY DISABLED County: BROWN GREEN BAY WI 54304 Initial License: 02/22/2008 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TERMINALLY ILL TRAUMATIC BRAIN INJURY

*The Adult Family Home (AFH) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/31/2021 of Health Services UdtdPage 6 Public Directory By Facility Name For Facility Type AFH Brown

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

NORTHERN AVENUE HOME (0008867) BRUSS SUPPORTIVE COMMUNITY LIVING INC Type: AFH HCBS COMPLIANT (920) 606-0588 Class: 302 NORTHERN AVE DEVELOPMENTALLY DISABLED GREEN BAY WI 54303 RONALD BRUSS Gender - Capacity: M/F - 4 (920) 544-4325 RONALD BRUSS 3501 DELAHAUT ST Low/High rate: 3,182/3,182 PUBLIC FUNDING County: BROWN GREEN BAY WI 54301-1203 Initial License: 03/22/2000 OAKWOOD (0015370) CLARITY CARE INC Type: AFH HCBS COMPLIANT (920) 236-6560 Class: 2407 OAKWOOD DR ADVANCED AGED GREEN BAY WI 54303 BARB SALEMI Gender - Capacity: M/F - 4 (920) 593-2836 RACHEL KLITZKE 424 WASHINGTON AVE Low/High rate: 5,249/5,249 DEVELOPMENTALLY DISABLED County: BROWN OSHKOSH WI 54901 Initial License: 12/30/2014 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TRAUMATIC BRAIN INJURY

ONTARIO HOME (0011272) INNOVATIVE SERVICES INC Type: AFH HCBS COMPLIANT (920) 431-0962 Class: 1838 RD ADVANCED AGED GREEN BAY WI 54311 JILL ROWLAND Gender - Capacity: M/F - 4 (920) 593-2802 STEPHANIE ANDERSON 2321 SAN LUIS PLACE Low/High rate: 5,727/6,480 DEVELOPMENTALLY DISABLED County: BROWN GREEN BAY WI 54304 Initial License: 12/27/2005 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TERMINALLY ILL TRAUMATIC BRAIN INJURY ONTARIO II (0012121) INNOVATIVE SERVICES INC Type: AFH HCBS COMPLIANT (920) 431-0962 Class: 1852 ONTARIO RD DEVELOPMENTALLY DISABLED GREEN BAY WI 54311 JILL ROWLAND Gender - Capacity: M/F - 4 (920) 465-9750 STEPHANIE ANDERSON 2321 SAN LUIS PLACE Low/High rate: 6,547/6,700 PHYSICALLY DISABLED County: BROWN GREEN BAY WI 54304 Initial License: 09/18/2007 OUR FAMILY HOME (0010451) LLOYD ADAMS Type: AFH HCBS COMPLIANT (920) 465-9248 Class: 425 ABRAMS ST ALCOHOL/DRUG DEPENDENT GREEN BAY WI 54302-3209 LLOYD ADAMS Gender - Capacity: M/F - 4 (920) 465-9248 LLOYD ADAMS 425 ABRAMS ST Low/High rate: 1,450/2,900 DEVELOPMENTALLY DISABLED County: BROWN GREEN BAY WI 54302-3209 Initial License: 04/27/2004 EMOTIONALLY DISTURBED/MENTAL PUBLIC FUNDING PECAN HOUSE (0017028) BETTYS HELPING HANDS LLC Type: AFH ADVANCED AGED (920) 544-9293 Class: 2406 PECAN STREET DEVELOPMENTALLY DISABLED GREEN BAY WI 54311 CHARLENE DEKEYSER Gender - Capacity: M - 4 (920) 544-9293 MARGUERITE DANA 2406 PECAN STREET Low/High rate: 5,500/7,000 EMOTIONALLY DISTURBED/MENTAL County: BROWN GREEN BAY WI 54311 Initial License: 03/01/2018 PUBLIC FUNDING RELIABLE PERSEVERING PROVIDERS LLC (0017567) RELIABLE PERSEVERING PROVIDERS LLC Type: AFH HCBS COMPLIANT (920) 471-5987 Class: 821 MATHER ST DEVELOPMENTALLY DISABLED GREEN BAY WI 54303 RANETT JACKSON Gender - Capacity: M/F - 4 (920) 391-5717 RANETT/PATRICA JACKSON/RYAN 821 MATHER ST Low/High rate: 4,000/4,500 EMOTIONALLY DISTURBED/MENTAL County: BROWN GREEN BAY WI 54303 Initial License: 10/16/2019 TRAUMATIC BRAIN INJURY REM ONTARIO (0014291) REM WISCONSIN II INC Type: AFH HCBS COMPLIANT (608) 276-1191 Class: 2439 ONTARIO DEVELOPMENTALLY DISABLED GREEN BAY WI 54311 LORI WRIGHT Gender - Capacity: M/F - 4 (920) 434-5352 LORI WRIGHT 4033 123rd ST, STE A Low/High rate: 6,045/7,130 EMOTIONALLY DISTURBED/MENTAL County: BROWN CHIPPEWA FALLS WI 54729 Initial License: 09/21/2012 PHYSICALLY DISABLED PUBLIC FUNDING TRAUMATIC BRAIN INJURY

REM WISCONSIN CORMIER (0013642) REM WISCONSIN II INC Type: AFH HCBS COMPLIANT (608) 276-1191 Class: 1006 CORMIER DEVELOPMENTALLY DISABLED GREEN BAY WI 54304 LORI WRIGHT Gender - Capacity: M/F - 4 (920) 429-1121 LORI WRIGHT 4033 123rd ST, STE A Low/High rate: 7,099/9,455 PUBLIC FUNDING County: BROWN CHIPPEWA FALLS WI 54729 Initial License: 03/15/2011

*The Adult Family Home (AFH) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/31/2021 of Health Services UdtdPage 7 Public Directory By Facility Name For Facility Type AFH Brown

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

REM WISCONSIN II - GLORY (0011067) REM WISCONSIN II INC Type: AFH HCBS COMPLIANT (608) 276-1191 Class: 778 GLORY RD DEVELOPMENTALLY DISABLED GREEN BAY WI 54304 LORI WRIGHT Gender - Capacity: M/F - 4 (920) 983-9819 LORI WRIGHT 4033 123rd ST, STE A Low/High rate: 7,188/7,313 EMOTIONALLY DISTURBED/MENTAL County: BROWN CHIPPEWA FALLS WI 54729 Initial License: 08/30/2005 PUBLIC FUNDING TRAUMATIC BRAIN INJURY

REM WISCONSIN II BLACKBERRY (0014791) REM WISCONSIN II INC Type: AFH HCBS COMPLIANT (608) 327-5945 Class: 3400 BLACKBERRY LN DEVELOPMENTALLY DISABLED GREEN BAY WI 54313 LORI WRIGHT Gender - Capacity: M/F - 4 (920) 662-7552 LORI WRIGHT 4033 123rd ST, STE A Low/High rate: 5,890/6,724 EMOTIONALLY DISTURBED/MENTAL County: BROWN CHIPPEWA FALLS WI 54729 Initial License: 09/20/2013 PUBLIC FUNDING TRAUMATIC BRAIN INJURY

REM WISCONSIN II DANBAR (0014792) REM WISCONSIN II INC Type: AFH HCBS COMPLIANT (608) 327-5945 Class: 2805 DANBAR DEVELOPMENTALLY DISABLED GREEN BAY WI 54313 LORI WRIGHT Gender - Capacity: M/F - 4 (608) 276-1191 LORI WRIGHT 4033 123rd ST, STE A Low/High rate: 8,398/8,522 EMOTIONALLY DISTURBED/MENTAL County: BROWN CHIPPEWA FALLS WI 54729 Initial License: 09/20/2013 PUBLIC FUNDING TERMINALLY ILL

REM WISCONSIN II INC DIVISION (0011105) REM WISCONSIN II INC Type: AFH HCBS COMPLIANT (608) 327-5945 Class: 1294 DIVISION ST DEVELOPMENTALLY DISABLED GREEN BAY WI 54303 LORI WRIGHT Gender - Capacity: M/F - 4 (920) 494-7226 LORI WRIGHT 4033 123rd ST, STE A Low/High rate: 6,758/8,066 EMOTIONALLY DISTURBED/MENTAL County: BROWN CHIPPEWA WI 54729 Initial License: 10/27/2005 PUBLIC FUNDING

RIVER TRAIL ADULT FAMILY HOME (0015868) MARY BRAYTON Type: AFH HCBS COMPLIANT (920) 217-3386 Class: 2211 RIVER TRAIL CT DEVELOPMENTALLY DISABLED DEPERE WI 54115 MARY BRAYTON Gender - Capacity: M - 4 (920) 217-3386 MARY BRAYTON 2211 RIVER TRAIL CT Low/High rate: 1,700/3,000 PUBLIC FUNDING County: BROWN DEPERE WI 54115 Initial License: 09/30/2015 RJS RIVER FOREST HILLS RETREAT (0017463) RJS RIVER FOREST HILLS RETREAT Type: AFH HCBS COMPLIANT (920) 562-7642 Class: 3048 RIVER FOREST HILLS DR DEVELOPMENTALLY DISABLED PULASKI WI 54162 JULIE KLARKOWSKI Gender - Capacity: M/F - 4 (920) 865-1886 JULIE KLARKOWSKI 3048 RIVER FOREST HILLS DR Low/High rate: 5,000/8,000 EMOTIONALLY DISTURBED/MENTAL County: BROWN PULASKI WI 54162 Initial License: 04/15/2019 PUBLIC FUNDING TRAUMATIC BRAIN INJURY AFH (THE) (0011944) THE SANCTUARY AFH Type: AFH HCBS COMPLIANT (920) 468-4864 Class: 3385 BAY SETTLEMENT RD ALCOHOL/DRUG DEPENDENT GREEN BAY WI 54311 MICHAEL J BRUNETTE Gender - Capacity: M - 4 (920) 468-4864 MICHAEL J BRUNETTE 3385 BAY SETTLEMENT RD Low/High rate: 2,280/2,330 DEVELOPMENTALLY DISABLED County: BROWN GREEN BAY WI 54311 Initial License: 09/28/2007 EMOTIONALLY DISTURBED/MENTAL PUBLIC FUNDING SANDIA AFH (0012109) COMPASS DEVELOPMENT LLC Type: AFH HCBS COMPLIANT (920) 405-9010 Class: 2923 SANDIA DR DEVELOPMENTALLY DISABLED GREEN BAY WI 54313 KEVIN LAPOINTE Gender - Capacity: M/F - 4 (920) 884-5018 KEVIN LAPOINTE 2029 TRUE LN Low/High rate: 5,000/5,700 EMOTIONALLY DISTURBED/MENTAL County: BROWN GREEN BAY WI 54304 Initial License: 10/24/2007 PUBLIC FUNDING TRAUMATIC BRAIN INJURY SCHULTZ ADULT FAMILY HOME (THE) (0012896) GREENER ACRES/STEVEN M SCHULTZ Type: AFH HCBS COMPLIANT (920) 338-0781 Class: 130 BROADVIEW DR DEVELOPMENTALLY DISABLED GREEN BAY WI 54301 STEVEN SCHULTZ Gender - Capacity: M/F - 4 (920) 338-0781 STEVEN SCHULTZ 130 BROADVIEW DR Low/High rate: 1,790/2,410 EMOTIONALLY DISTURBED/MENTAL County: BROWN GREEN BAY WI 54301 Initial License: 08/01/2009 PUBLIC FUNDING TRAUMATIC BRAIN INJURY

*The Adult Family Home (AFH) directory is updated monthly. Wisconsin Department Division of Quality Assurance Directory 08/31/2021 of Health Services UdtdPage 8 Public Directory By Facility Name For Facility Type AFH Brown

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

SHADY (0018296) CREEKSIDE FAMILY CARE LLC Type: AFH HCBS COMPLIANT (920) 301-3907 Class: 2465 SHADY OAK DRIVE ADVANCED AGED GREEN BAY WI 54303 DAQUET REED Gender - Capacity: M/F - 4 (920) 393-4112 DAQUET REED 1345 WEST MASON ST STE 202 Low/High rate: 12,000/30,000 DEVELOPMENTALLY DISABLED County: BROWN GREEN BAY WI 54303 Initial License: 11/04/2020 PHYSICALLY DISABLED TRAUMATIC BRAIN INJURY STEPPING STONES ADULT FAMILY HOME (0016463) STEPPING STONES ADULT FAMILY HOME LLC Type: AFH HCBS COMPLIANT (920) 360-7965 Class: 1738 JUNIPER DRIVE DEVELOPMENTALLY DISABLED GREEN BAY WI 54302 SHANNON SCHUYLER Gender - Capacity: M/F - 4 (920) 965-6112 SHANNON SCHUYLER 1738 JUNIPER DRIVE Low/High rate: 4,813/5,500 EMOTIONALLY DISTURBED/MENTAL County: BROWN GREEN BAY WI 54302 Initial License: 05/03/2017 PUBLIC FUNDING TRAUMATIC BRAIN INJURY SUPERIOR ROAD ADULT FAMILY HOME (0012195) INNOVATIVE SERVICES INC Type: AFH HCBS COMPLIANT (920) 431-0962 Class: 620 SUPERIOR ROAD ADVANCED AGED GREEN BAY WI 54311 JILL ROWLAND Gender - Capacity: M/F - 4 (920) 884-1256 STEPHANIE ANDERSON 2321 SAN LUIS PLAC Low/High rate: 6,887/6,885 DEVELOPMENTALLY DISABLED County: BROWN GREEN BAY WI 54304 Initial License: 11/15/2007 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TERMINALLY ILL TRAUMATIC BRAIN INJURY UNIVERSITY HOME (0017744) BETTYS HELPING HANDS LLC Type: AFH HCBS COMPLIANT (920) 857-3645 Class: 1931 UNIVERSITY AVE ADVANCED AGED GREEN BAY WI 54302 CHARLENE DEKEYSER Gender - Capacity: M/F - 4 (920) 857-3645 MARGUERITE DANA 2406 PECAN ST Low/High rate: 4,000/7,000 DEVELOPMENTALLY DISABLED County: BROWN GREEN BAY WI 54311 Initial License: 07/01/2019 WINDSOR HOME (0010941) INNOVATIVE SERVICES INC Type: AFH HCBS COMPLIANT (920) 431-0902 Class: 819 S RIDGE RD ADVANCED AGED GREEN BAY WI 54304 JILL ROWLAND Gender - Capacity: M/F - 4 (920) 497-6236 STEPHANIE ANDERSON 2321 SAN LUIS PLACE Low/High rate: 4,866/6,244 DEVELOPMENTALLY DISABLED County: BROWN GREEN BAY WI 54304 Initial License: 04/28/2005 EMOTIONALLY DISTURBED/MENTAL IRREVERSIBLE DEMENTIA/ALZHEIM PHYSICALLY DISABLED PUBLIC FUNDING TERMINALLY ILL TRAUMATIC BRAIN INJURY

*The Adult Family Home (AFH) directory is updated monthly.