Division of Quality AssuranceWisconsin Department of Health Services Page 1
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
124 BAY RIDGE LNBURLINGTON WI 53105(262) 767-2155 ANNE & RUSSELL LOETHERCounty: RACINE
BAY RIDGE HOME LLC
1222 LAUREL LNKANSASVILLE WI 53139
Type: Class:
Low/High rate:
AFH(262) 210-2230ANNE LOETHER
3,000/6,000M/F - 4
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 12/08/2006
BAY RIDGE HOME (0011733)
11/30/2018License Renewal Fee Due*:
2910 S BROWNS LAKE ROADBURLINGTON WI 53105
GERALD REINEKECounty: RACINE
REINEKE CARE HOMES, LLC
2940 MEALY ROADWATERFORD WI 53185
Type: Class:
Low/High rate:
AFH(262) 210-1371BONNIE REINEKE
4,660/6,000M/F - 4
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 03/05/2015
BROWNS LAKE HOME (0015553)
02/28/2019License Renewal Fee Due*:
316 S PERKINSBURLINGTON WI 53105(262) 909-4344 JEFFREY CRABTREECounty: RACINE
CRABTREE RESIDENTIAL LIVING INC
PO BOX 580393PLEASANT PRAIRIE WI 53158
Type: Class:
Low/High rate:
AFH(262) 909-4344JEFFREY CRABTREE
4,500/6,000M - 4
DEVELOPMENTALLY DISABLED
Gender - Capacity:
Initial License: 08/30/2007
CEDAR HOME (0012080)
08/31/2019License Renewal Fee Due*:
141 DAVIDSON DRBURLINGTON WI 53105(262) 661-4585 ANNE LOETHERCounty: RACINE
BAY RIDGE HOME LLC
1222 LAUREL LNKANSASVILLE WI 53139
Type: Class:
Low/High rate:
AFH(262) 210-2230ANNE LOETHER
3,038/3,813M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 07/18/2012
CHICORY HOME (0014251)
06/30/2020License Renewal Fee Due*:
208 EDWARDS STBURLINGTON WI 53105(262) 909-4344 JEFF CRABTREECounty: RACINE
CRABTREE RESIDENTIAL LIVING
P O BOX 580393PLEASANT PRAIRIE WI 53158
Type: Class:
Low/High rate:
AFH(262) 909-4344JEFF CRABTEEE
4,500/5,500M - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 12/22/2010
CYPRESS HOME (0013354)
11/30/2018License Renewal Fee Due*:
506A STEPHANIE STREETBURLINGTON WI 53105(262) 895-6666 MELINDA J DOLPHINCounty: RACINE
DOLPHIN HOUSE A LLC
4525 GUNDERSON ROADWATERFORD WI 53185
Type: Class:
Low/High rate:
AFH(262) 895-6666MELINDA J DOLPHIN
5,500/7,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILL
Gender - Capacity:
Initial License: 11/10/2014
DOLPHIN HOUSE A LLC (0015101)
10/31/2018License Renewal Fee Due*:
506B STEPHANIE STREETBURLINGTON WI 53105(262) 895-6666 MELINDA DOLPHINCounty: RACINE
DOLPHIN HOUSE B LLC
4525 GUNDERSON ROADWATERFORD WI 53185
Type: Class:
Low/High rate:
AFH(262) 895-6666MELINDA J DOLPHIN
5,500/7,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILL
Gender - Capacity:
Initial License: 11/10/2014
DOLPHIN HOUSE B LLC (0015100)
10/31/2018License Renewal Fee Due*:
8339 B FISHMAN RDBURLINGTON WI 53105(262) 492-0179 MACK CRABTREECounty: RACINE
CRABTREE RESIDENTIAL LIVING INC
PO BOX 580393PLEASANT PRAIRIE WI 53158
Type: Class:
Low/High rate:
AFH(262) 909-4344JEFFREY CRABTREE
4,500/7,200M - 4
DEVELOPMENTALLY DISABLED
Gender - Capacity:
Initial License: 12/03/2009
ELM HOME (0012870)
11/30/2019License Renewal Fee Due*:
1315 SCHNEIDER LNBURLINGTON WI 53105(262) 534-4018 RENEE GALLCounty: RACINE
GALL FAMILY CARE HOME
1315 SCHNEIDER LNBURLINGTON WI 53105
Type: Class:
Low/High rate:
AFH(262) 534-4018RENEE GALL
1,800/3,500M/F - 4
DEVELOPMENTALLY DISABLED
Gender - Capacity:
Initial License: 02/23/2000
GALL FAMILY CARE HOME (0008955)
02/28/2020License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 2
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
901 CRESTWOOD DRBURLINGTON WI 53105(262) 210-2230 ANNE LOETHERCounty: RACINE
BAY RIDGE HOME LLC
1222 LAUREL LNKANSASVILLE WI 53139
Type: Class:
Low/High rate:
AFH(262) 210-2230ANNE LOETHER
3,800/6,800F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 11/26/2008
JOAN STREET (0012616)
11/30/2018License Renewal Fee Due*:
8339 A FISHMAN RDBURLINGTON WI 53105(262) 492-0179 MACK CRABTREECounty: RACINE
CRABTREE RESIDENTIAL LIVING INC
PO BOX 580393PLEASANT PRAIRIE WI 53158
Type: Class:
Low/High rate:
AFH(262) 909-4344JEFFREY CRABTREE
4,500/7,200M - 4
DEVELOPMENTALLY DISABLED
Gender - Capacity:
Initial License: 08/06/2009
MAPLE HOME (0012871)
07/31/2019License Renewal Fee Due*:
535 PARK AVENUEBURLINGTON WI 53105(262) 534-3467 GERALD REINEKECounty: RACINE
REINEKE CARE HOMES LLC
2940 MEALY RDWATERFORD WI 53185
Type: Class:
Low/High rate:
AFH(262) 534-3467BONNIE REINEKE
3,800/6,200M/F - 4
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 06/16/2016
PARK HOUSE (0016160)
06/30/2020License Renewal Fee Due*:
584 EDGEWOOD AVEBURLINGTON WI 53105(262) 534-3467 GERALD REINEKECounty: RACINE
REINEKE CARE HOMES LLC
2940 MEALY RDWATERFORD WI 53105
Type: Class:
Low/High rate:
AFH(262) 534-3467GERALD REINEKE
3,334/4,728M/F - 4
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 04/14/2009
REINEKE CARE HOMES ROCHESTER HOME (0012796)
03/31/2019License Renewal Fee Due*:
32715 VISTA VIEW DRBURLINGTON WI 53105(262) 534-3338 SHARON SETTERMANCounty: RACINE
SHARON SETTERMAN
32715 VISTA VIEW DRBURLINGTON WI 53105
Type: Class:
Low/High rate:
AFH(262) 534-3338SHARON SETTERMAN
2,500/3,500M/F - 4
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 10/23/2003
SETTERMAN HOME (0010210)
10/31/2019License Renewal Fee Due*:
848 WEILER RDBURLINGTON WI 53105(262) 661-4008 ANNE LOETHERCounty: RACINE
BAY RIDGE HOME LLC
1222 LAUREL LNKANSASVILLE WI 53139
Type: Class:
Low/High rate:
AFH(262) 661-4008ANNE LOETHER
3,100/4,650M - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 11/16/2011
WEILER HOME (0013960)
10/31/2019License Renewal Fee Due*:
316 GARFIELD STBURLINGTON WI 53105(262) 806-7252 ELIZABETH BALLCounty: RACINE
WILLOW RUN FAMILY GROUP HOME INC
104 CLARK STBURLINGTON WI 53105
Type: Class:
Low/High rate:
AFH(262) 806-7252THOR CHRISTIANSEN
3,920/4,340M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 01/25/2012
WILLOW RUN 3 (0013991)
12/31/2019License Renewal Fee Due*:
104 CLARK STBURLINGTON WI 53105(262) 806-7252 ELIZABETH BALLCounty: RACINE
WILLOW RUN ADULT FAMILY GROUP HOME INC
104 CLARK STBURLINGTON WI 53105
Type: Class:
Low/High rate:
AFH(262) 806-7252THOR CHRISTIANSEN
2,865/3,172M/F - 4
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 11/01/1998
WILLOW RUN ADULT FAMILY GROUP HOME (390235)
10/31/2018License Renewal Fee Due*:
2125 PARKWAY DRCALEDONIA WI 53108(262) 681-7868 DAVID DUFFECKCounty: RACINE
ALPHA HOMES OF WISCONSIN INC
6216 WASHINGTON AVE SUITE DRACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 886-3328DAVID DUFFECK
5,010/5,010M/F - 4
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 06/15/2001
ALPHA HOMES OF WISCONSIN XV (0009193)
06/30/2019License Renewal Fee Due*:
13207 HWY GCALEDONIA WI 53108(262) 878-3982 ANN HEDRINGTONCounty: RACINE
COUNTRY MEADOWS FAMILY CARE, LLC
2824 65TH DRIVEFRANKSVILLE WI 53126
Type: Class:
Low/High rate:
AFH(414) 397-9425ANN HEDRINGTON
4,235/5,245M/F - 4
DEVELOPMENTALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 03/20/2014
COUNTRY MEADOWS FAMILY CARE ANGEL HOUSE (00149
02/28/2020License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 3
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
2422 MARSHALL SQUAREDOVER WI 53139(262) 989-1898 PENNY ADOLPHCounty: RACINE
1014 VINE STUNION GROVE WI 53182
Type: Class:
Low/High rate:
AFH(262) 939-3443DUSTIN SVENDSEN
3,000/7,500M/F - 4
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 06/13/2016
JAMES CARES LLC (0016153)
05/31/2020License Renewal Fee Due*:
21021 DURANDDOVER WI 53139(262) 878-9027 DR WILLIAM AMSTUTZCounty: RACINE
SHEPHERDS BAPTIST MINISTRIES INC
1805 15TH AVENUEUNION GROVE WI 53182
Type: Class:
Low/High rate:
AFH(262) 878-5620MICHELE MCGRRY
4,900/4,900F - 4
DEVELOPMENTALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 06/22/2016
SHEPHERDS MINISTRIES KUHNLE HOUSE (0016123)
06/30/2020License Renewal Fee Due*:
4430 HIGHWAY 38FRANKSVILLE WI 53126(414) 336-5639 VERNITA M WILLISCounty: RACINE
BOULDER CREEK LLC
10125 S 52ND STREETFRANKLIN WI 53132
Type: Class:
Low/High rate:
AFH(414) 498-6119PAT LARRABEE
4,310/19,500M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 03/30/2017
BOULDER CREEK HOUSE I (0016449)
03/31/2019License Renewal Fee Due*:
2824 65TH DRFRANKSVILLE WI 53126(262) 397-9425 ANN HEDRINGTONCounty: RACINE
ANN HEDRINGTON
18012 65TH CTFRANKSVILLE WI 53126
Type: Class:
Low/High rate:
AFH(262) 878-1018ANN HEDRINGTON
3,994/4,127M/F - 4
DEVELOPMENTALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 12/17/2009
COUNTRY MEADOWS FAMILY CARE LLC (0013085)
12/31/2018License Renewal Fee Due*:
6810 HOODS CREEK ROADFRANKSVILLE WI 53126(414) 336-5639 VERNITA M WILLSCounty: RACINE
BOULDER CREEK LLC
10125 S 52ND STREETFRANKLIN WI 53132
Type: Class:
Low/High rate:
AFH(414) 498-6119PAT LARRABEE
4,310/19,500M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 06/22/2017
HOODS CREEK HOUSE I (0016525)
06/30/2019License Renewal Fee Due*:
21404 WASHINGTON AVEKANSASVILLE WI 53139(262) 895-6666 MELINDA DOLPHINCounty: RACINE
DOLPHIN MANOR LLC
4525 GUNDERSON ROADWATERFORD WI 53185
Type: Class:
Low/High rate:
AFH(262) 895-6666MELINDA DOLPHIN
5,000/6,000M/F - 4
ADVANCED AGEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILL
Gender - Capacity:
Initial License: 07/11/2007
DOLPHIN MANOR LLC (0011934)
06/30/2019License Renewal Fee Due*:
2720 MARSHALL SQUAREKANSASVILLE WI 53139
PENNY ADOLPHCounty: RACINE
JAMES CARES LLC
1014 VINE STUNION GROVE WI 53182
Type: Class:
Low/High rate:
AFH(262) 939-3443DUSTIN SVENDSEN
133/4,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 05/24/2018
EAGLE LAKE MANOR (0017036)
05/31/2020License Renewal Fee Due*:
707 224TH AVEKANSASVILLE WI 53139(262) 878-0810 GLENN GUNDERSONCounty: RACINE
GUNDERSON FAMILY HOME
707 224TH AVEKANSASVILLE WI 53139
Type: Class:
Low/High rate:
AFH(262) 878-0810GLENN & KATHY GUNDERSON
5,200/9,000M/F - 4
DEVELOPMENTALLY DISABLED
Gender - Capacity:
Initial License: 04/01/1998
GUNDERSON FAMILY HOME (390164)
03/31/2020License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 4
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
24710 18TH STKANSASVILLE WI 53139(414) 847-1515 ELIZABETH MEYERCounty: RACINE
VOLUNTEERS OF AMERICA WISCONSIN INC
1661 N WATER ST #401MILWAUKEE WI 53202
Type: Class:
Low/High rate:
AFH(414) 847-1515ANNE FOERSTER
7,500/9,000M/F - 4
ADVANCED AGEDCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 02/09/2011
KANSASVILLE HOUSE (0013507)
01/31/2019License Renewal Fee Due*:
1222 LAUREL LNKANSASVILLE WI 53139(262) 878-0185 ANNE & RUSSELL LOETHERCounty: RACINE
1222 LAUREL LNKANSASVILLE WI 53139
Type: Class:
Low/High rate:
AFH(262) 878-0185ANNE & RUSSELL LOETHER
2,281/3,750M/F - 4
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 05/19/2004
LOETHERS HOME (0010474)
05/31/2020License Renewal Fee Due*:
3820 29TH STKENOSHA WI 53144(262) 551-0495 DAVID DUFFECKCounty: RACINE
ALPHA HOMES OF WISCONSIN INC
6216 WASHINGTON AVE SUITE DRACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 886-3328DAVID DUFFECK
5,510/5,510M/F - 4
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 02/03/2005
ALPHA HOMES OF WISCONSIN XVI (0010519)
02/28/2019License Renewal Fee Due*:
3945 JACOB CTMOUNT PLEASANT WI 53403(262) 989-7124 RODERICK F EVANSCounty: RACINE
BEACON OF HOPE RESIDENTIAL CARE
3945 JACOB CTMOUNT PLEASANT WI 53403
Type: Class:
Low/High rate:
AFH(262) 989-7124RODERICK F EVANS
4,057/8,113M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 07/25/2012
BEACON OF HOPE ADULT FAMILY HOME (0014258)
06/30/2020License Renewal Fee Due*:
3820 ROYAL OAKS DRMOUNT PLEASANT WI 53406(262) 554-8022 MARSHA HARRINGTONCounty: RACINE
MARSHA HARRINGTON
PO BOX 081464RACINE WI 53408-1464
Type: Class:
Low/High rate:
AFH(262) 554-8022MARSHA HARRINGTON
4,197/7,969M/F - 4
DEVELOPMENTALLY DISABLED
Gender - Capacity:
Initial License: 01/21/2003
CARE HOME (0009850)
01/31/2019License Renewal Fee Due*:
4945 CUMBERLAND ROADMOUNT PLEASANT WI 53405(262) 989-2366 GAYLE L MILLISCounty: RACINE
A CLEARER VISION LLC DBA ELIANNA HOMES V
3260 E CAROLLTON DRIVEOAK CREEK WI 53154
Type: Class:
Low/High rate:
AFH(262) 989-2366GAYLE L MILLIS
5,600/6,400M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 07/05/2017
ELIANA HOMES CUMBERLAND PLACE AFH (0016651)
06/30/2019License Renewal Fee Due*:
1111 N GREEN BAY RDMOUNT PLEASANT WI 53406(262) 880-1873 COURTNEY CONNERCounty: RACINE
GREEN BAY ADULT FAMILY HOME
PO BOX 44375RACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 880-1873COURTNEY CONNER
6,000/M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 05/31/2016
GREEN BAY ADULT FAMILY HOME (0016128)
05/31/2020License Renewal Fee Due*:
448 NEWMAN RDMOUNT PLEASANT WI 53406(414) 687-2088 ANN CIOMBORCounty: RACINE
HARMONY HOME ON NEWMAN LLC
2400 LATHROP AVERACINE WI 53405
Type: Class:
Low/High rate:
AFH(414) 687-2088ANN CIOMBOR
6,000/M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 07/20/2017
HARMONY HOME ON NEWMAN LLC (0016680)
07/31/2019License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 5
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
1114 N HILLOCK DRIVEMOUNT PLEASANT WI 53406(262) 744-4844 INDIGO HARRISCounty: RACINE
J HARRIS HOMES INC
1114 N HILLOCK DRIVEMOUNT PLEASANT WI 53406
Type: Class:
Low/High rate:
AFH(262) 744-4544INDIGO HARRIS
3,750/4,750M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 08/29/2017
J HARRIS HOMES (0016712)
08/31/2019License Renewal Fee Due*:
3824 DAISY LANEMOUNT PLEASANT WI 53403(262) 456-2459 LYNETTE DUKQUITSCounty: RACINE
OPEN ARMS 20 LLC
5335 TAYLOR AVEMOUNT PLEASANT WI 53403
Type: Class:
Low/High rate:
AFH(414) 915-8588BASHAR QEDAN
6,975M/F - 4
ADVANCED AGEDPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 07/19/2017
OPEN ARMS 20 LLC (0016790)
07/31/2019License Renewal Fee Due*:
4406 WOOD RDMOUNT PLEASANT WI 53403(262) 880-1873 COURTNEY CONNERCounty: RACINE
WOOD ADULT FAMILY HOME, LLC
PO BOX 44375RACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 880-1873COURTNEY CONNER
6,000/M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 01/10/2017
WOOD ADULT FAMILY HOME LLC (0016414)
12/31/2018License Renewal Fee Due*:
4604 SPRING STREETMT PLEASANT WI 53405(262) 633-4103 PRISCELLA K WHITECounty: RACINE
ABOVE & BEYOND ADULT FAMILY HOME LLC
5801 WASHINGTON AVE SUITE 205MT PLEASANT WI 53406
Type: Class:
Low/High rate:
AFH(262) 417-2796PRISCELLA WHITE
6,000/10,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 06/10/2013
ABOVE & BEYOND AFH III (0014601)
05/31/2019License Renewal Fee Due*:
2037 N GREEN BAY RDMT PLEASANT WI 53405(312) 694-3654 WALID ABUGHRINCounty: RACINE
BALANCE LIVING CENTER
2037 N GREEN BAY RDMOUNT PLEASANT WI 53405
Type: Class:
Low/High rate:
AFH(312) 694-3654WALID ABUGHRIN
5,400/20,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLED
Gender - Capacity:
Initial License: 01/17/2017
BALANCE LIVING CENTER (0016261)
12/31/2018License Renewal Fee Due*:
6437 DURAND AVEMT PLEASANT WI 53406(262) 000-0000 PARIT PATELCounty: RACINE
DURAND ADULT FAMILY HOME II LLC
2054 KEARNEY AVENUERACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 939-3666PARIT PATEL
6,500/8,500M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 08/05/2014
DURAND ADULT FAMILY HOME II LLC (0015129)
07/31/2020License Renewal Fee Due*:
6439 DURAND AVENUEMT PLEASANT WI 53406(262) 939-3666 PARIT PATELCounty: RACINE
DURAND ADULT FAMILY HOME, LLC
2054 KEARNEY AVENUERACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 939-3666PARIT PATEL
6,500/8,500M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 01/28/2014
DURAND ADULT FAMILY HOME LLC (0014928)
01/31/2019License Renewal Fee Due*:
3725 SHERRIE LNMT PLEASANT WI 53405(262) 456-2459 LYNETTE DUKQUITSCounty: RACINE
OPEN ARMS 20 LLC
5335 TAYLOR AVERACINE WI 53403
Type: Class:
Low/High rate:
AFH(414) 915-8588BASHAR QEDAN
5,999M/F - 4
ADVANCED AGEDPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 08/15/2016
OPEN ARMS 20 LLC (0016272)
08/31/2018License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 6
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
5335 TAYLOR AVEMT PLEASANT WI 53403(262) 456-2459 LYNETTE DUKQUITSCounty: RACINE
OPEN ARMS ASSISTED LIVING LLC
5335 TAYLOR AVEMT PLEASANT WI 53403
Type: Class:
Low/High rate:
AFH(414) 915-8588BASHAR QEDAN
3,500/5,999M/F - 4
ADVANCED AGEDPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 10/21/2015
OPEN ARMS 20 LLC (0015801)
06/30/2019License Renewal Fee Due*:
3341 HAMLINRACINE WI 53403(262) 676-9756 RHONDA GRIFFINCounty: RACINE
1ST CHOICE ADULT FAMILY
1536 TAYLOR AVERACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 822-1625RHONDA GRIFFIN
3,000/5,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 11/28/2016
1ST CHOICE ADULT FAMILY (0015993)
11/30/2018License Renewal Fee Due*:
3337 CHARLES STREETRACINE WI 53402(262) 456-2821 DESIREE VEASEYCounty: RACINE
A GOLDEN STAR AFH LLC
2052 THURSTON AVERACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 412-4264VALERIE KING
6,500/9,000M/F - 4
ADVANCED AGEDCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 05/23/2017
A GOLDEN STAR AFH (0016654)
05/31/2019License Renewal Fee Due*:
1638 ERIE STRACINE WI 53402(262) 456-2821 DESIREE VEASEYCounty: RACINE
A GOLDEN STAR AFH LLC
4201 MONTEREY DRRACINE WI 53402
Type: Class:
Low/High rate:
AFH(262) 412-4274DESIREE VEASEY
6,500/9,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'STERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 03/13/2018
A GOLDEN STAR AFH III (0017075)
02/29/2020License Renewal Fee Due*:
2052 THURSTON AVERACINE WI 53403(262) 412-4274 DESIREE VEASEYCounty: RACINE
A GOLDEN STAR AFH LLC
2052 THURSTON AVERACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 412-4274VALERIE KING
6,000/9,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 09/06/2016
A GOLDEN STAR AFH LLC (0016212)
08/31/2018License Renewal Fee Due*:
1341 VIRGINIA STRACINE WI 53403(262) 939-3666 PARIT PATELCounty: RACINE
A LOVING CARE GROUP HOMES LLC
2054 KEARNEY AVERACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 939-3666PARIT PATEL
7,750/12,400M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 01/07/2013
A LOVING CARE GROUP HOMES II LLC (0014287)
12/31/2019License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 7
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
2710 WESTLAWN AVERACINE WI 53405(262) 939-3666 PARIT PATELCounty: RACINE
A LOVING CARE GROUP HOMES LLC
2054 KEARNEY AVERACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 633-4977PARIT PATEL
7,750/12,400M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 02/16/2011
A LOVING CARE GROUP HOMES LLC (0013619)
01/31/2019License Renewal Fee Due*:
901 OSTERGAARD AVERACINE WI 53406(262) 752-3830 CHANEL NELSONCounty: RACINE
NATURALLY NURTURED LLC
1430 VILLA STRACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 752-3830CHANEL NELSON
3,500/10,500M/F - 3
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 09/01/2015
A NATURALLY NURTURING PLACE (0015742)
08/31/2019License Renewal Fee Due*:
2111 MOUNT PLEASANT STREETRACINE WI 53404(262) 412-3269 MIRANDA YOUNGCounty: RACINE
A+ JUST LIKE FAMILY LLC
620 SILENT SUNDAYRACINE WI 53402
Type: Class:
Low/High rate:
AFH(262) 412-3269MIRANDA YOUNG
2,800/10,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'STERMINALLY ILL
Gender - Capacity:
Initial License: 06/05/2013
A+ JUST LIKE FAMILY 2 LLC (0014635)
05/31/2019License Renewal Fee Due*:
1108 ILLINOIS STRACINE WI 53405(262) 412-3269 MIRANDA YOUNGCounty: RACINE
A+ JUST LIKE FAMILY LLC
620 SILENT SUNDAY CTRACINE WI 53402
Type: Class:
Low/High rate:
AFH(262) 412-3269MIRANDA YOUNG
3,800/8,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 01/11/2018
A+ JUST LIKE FAMILY 3 LLC (0016987)
12/31/2019License Renewal Fee Due*:
1926 DEANE BLVDRACINE WI 53403(262) 412-3269 MIRANDA YOUNGCounty: RACINE
A+ JUST LIKE FAMILY LLC
620 SILENT SUNDAYRACINE WI 53402
Type: Class:
Low/High rate:
AFH(262) 412-3269MIRANDA YOUNG
5,565/8,500M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 02/20/2012
A+ JUST LIKE FAMILY AFH (0013921)
01/31/2020License Renewal Fee Due*:
2427 RUSSET STRACINE WI 53405(262) 412-1482 TARAL PATELCounty: RACINE
AARNA FAMILY CARE LLC
3839 BLOSSOM DRRACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 939-6661TARAL PATEL
3,500/9,500M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 04/04/2018
AARNA FAMILY CARE LLC (0016897)
03/31/2020License Renewal Fee Due*:
4800 KINZIE AVERACINE WI 53406(262) 583-4619 PRISCELLA WHITECounty: RACINE
ABOVE & BEYOND ADULT FAMILY HOME LLC
5801 WASHINGTON AVE SUITE 205MT PLEASANT WI 53406
Type: Class:
Low/High rate:
AFH(262) 417-2796PRISCELLA WHITE
4,500/10,000 - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 06/08/2015
ABOVE & BEYOND AFH PHASE I (0015549)
05/31/2019License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 8
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
5404 WRIGHT AVERACINE WI 53406(262) 456-2250 PRISCELLA WHITECounty: RACINE
ABOVE AND BEYOND ADULT FAMILY HOME LLC
5734 RANDAL LANERACINE WI 53402
Type: Class:
Low/High rate:
AFH(262) 417-2796PRISCELLA WHITE
3,600/4,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 04/05/2011
ABOVE AND BEYOND ADULT FAMILY HOME (0013672)
02/28/2019License Renewal Fee Due*:
3600 10TH AVERACINE WI 53403
ALLYSON BOUIECounty: RACINE
ALLYSONSADULT FAMILY HOME LLC
3669 ERIE STRACINE WI 53402
Type: Class:
Low/High rate:
AFH(262) 672-9735ALLYSON BOUIE
4,711/8,617M/F - 3
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 04/06/2017
ALLYSONS ADULT HOME II (0016469)
03/31/2019License Renewal Fee Due*:
1683 PERRY AVERACINE WI 53405(262) 633-7484 DAVID DUFFECKCounty: RACINE
ALPHA HOMES OF WISCONSIN INC
6216 WASHINGTON AVE SUITE DRACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 886-3328DAVID DUFFECK
2,850/5,000M - 4
DEVELOPMENTALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 02/01/1989
ALPHA HOMES OF WISCONSIN I (390119)
01/31/2020License Renewal Fee Due*:
4212 DURAND AVERACINE WI 53406(262) 554-8856 DAVID DUFFECKCounty: RACINE
ALPHA HOMES OF WISCONSIN INC
6216 WASHINGTON AVE SUITE DRACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 886-3328DAVID DUFFECK
3,400/3,400M/F - 4
DEVELOPMENTALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 05/01/1987
ALPHA HOMES OF WISCONSIN II (0008611)
04/30/2020License Renewal Fee Due*:
1727 STODDARD CIRCLERACINE WI 53406(262) 886-5139 DAVID DUFFECKCounty: RACINE
ALPHA HOMES OF WISCONSIN INC
6216 WASHINGTON AVE SUITE DRACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 886-3328DAVID DUFFECK
3,150/3,150M - 4
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 11/01/1988
ALPHA HOMES OF WISCONSIN III (390120)
10/31/2018License Renewal Fee Due*:
1427 OHIO STRACINE WI 53405(262) 633-6845 DAVID DUFFECKCounty: RACINE
ALPHA HOMES OF WISCONSIN INC
6216 WASHINGTON AVE SUITE DRACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 886-3328DAVID DUFFECK
3,420/3,420M - 4
DEVELOPMENTALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 11/01/1987
ALPHA HOMES OF WISCONSIN IV (390121)
10/31/2018License Renewal Fee Due*:
5238 ADMIRALTY DRRACINE WI 53405(262) 554-6035 DAVID DUFFECKCounty: RACINE
ALPHA HOMES OF WISCONSIN INC
6216 WASHINGTON AVE SUITE DRACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 886-3328DAVID DUFFECK
2,850/5,000M/F - 4
DEVELOPMENTALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 12/01/1987
ALPHA HOMES OF WISCONSIN V (0008612)
01/31/2020License Renewal Fee Due*:
701 CARLTON DRRACINE WI 53404(262) 639-5449 DAVID DUFFECKCounty: RACINE
ALPHA HOMES OF WISCONSIN INC
6216 WASHINGTON AVE SUITE DRACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 886-3328DAVID DUFFECK
4,740/4,740M/F - 4
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 11/01/1998
ALPHA HOMES OF WISCONSIN VI (0008614)
10/31/2018License Renewal Fee Due*:
5405 ERIE STRACINE WI 53402(262) 639-4010 DAVID DUFFECKCounty: RACINE
ALPHA HOMES OF WISCONSIN INC
6216 WASHINGTON AVE SUITE DRACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 886-3328DAVID DUFFECK
4,860/4,860M/F - 4
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 09/04/1990
ALPHA HOMES OF WISCONSIN VII (390123)
08/31/2018License Renewal Fee Due*:
2126 SUTTON DRRACINE WI 53406(262) 886-1766 DAVID DUFFECKCounty: RACINE
ALPHA HOMES OF WISCONSIN INC
6216 WASHINGTON AVE SUITE DRACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 886-3328DAVID DUFFECK
3,750/3,750M/F - 4
DEVELOPMENTALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 10/30/2006
ALPHA HOMES OF WISCONSIN XVIII (0011654)
10/31/2018License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 9
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
6435 KINZIE AVERACINE WI 53406(262) 886-3328 DAVID DUFFECKCounty: RACINE
ALPHA HOMES OF WISCONSIN INC
6216 WASHINGTON AVERACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 886-3328DAVID J DUFFECK
5,910/7,710M/F - 4
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 08/20/2008
ALPHA HOMES OF WISCONSIN XX (0012314)
08/31/2018License Renewal Fee Due*:
1703 W 6TH STRACINE WI 53404(262) 637-7117 AMY HAMILTONCounty: RACINE
AMYS ADULT FAMILY HOME LLC
1701 W 6TH STRACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 637-7117AMY HAMILTON
4,000/15,000M/F - 4
ALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'STERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 11/16/2005
AMYS ADULT FAMILY HOME (0011232)
11/30/2019License Renewal Fee Due*:
1719 GRAND AVENUERACINE WI 53403(262) 637-7117 AMY HAMILTONCounty: RACINE
AMYS ADULT FAMILY HOME, LLC
1701 WEST 6TH STREETRACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 412-3355AMY HAMILTON
5,000/10,000M/F - 3
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 11/14/2013
AMYS ADULT FAMILY HOME 3 (0014725)
10/31/2019License Renewal Fee Due*:
2062 GEORGIA AVERACINE WI 53404(262) 412-3355 AMY HAMILTONCounty: RACINE
AMYS ADULT FAMILY HOME LLC
1701 WEST 6TH STRACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 412-3355AMY HAMILTON
5,550/6,200M/F - 3
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 12/05/2016
AMYS ADULT FAMILY HOME 4 (0016036)
11/30/2018License Renewal Fee Due*:
2001 CENTER STREETRACINE WI 53403(262) 497-4433 GREGORY MOORECounty: RACINE
2001 Center StreetRACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 497-4433GREGORY MOORE
3,000/10,500M/F - 3
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 07/07/2014
BEST CARE RESIDENTIAL AFH (0015141)
07/30/2018License Renewal Fee Due*:
1331 BLUFF AVENUERACINE WI 53403(262) 456-0035 YOLANDA MORACounty: RACINE
1331 BLUFF AVENUERACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 822-5336YOLANDA MORA
5,000/6,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 10/29/2014
BEST HOME CARE OF WI (0015329)
10/31/2018License Renewal Fee Due*:
2524 DONNA AVERACINE WI 53404(262) 822-5336 YOLANDA NAVACounty: RACINE
BEST HOME CARE OF WI #2 LLC
1331 BLUFF AVERACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 822-5336YOLANDA NAVA
5,000/6,000M/F - 3
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 01/10/2018
BEST HOME CARE OF WI #2 LLC (0016768)
12/31/2019License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 10
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
5232 ADMIRALTY DRIVERACINE WI 53406(262) 770-4167 SHANTA MCKINNEYCounty: RACINE
HANDS OF HOPE RESIDENTIAL LLC
2436 WEXFORD ROADRACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 994-9456SHANTA MCKINNEY
3,441/5,200M/F - 4
ALCOHOL/DRUG DEPENDENTCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 11/14/2013
BISCAYNE HOUSE (THE) (0014852)
10/31/2019License Renewal Fee Due*:
5645 REGENCY HILLS DRRACINE WI 53406(262) 672-3936 LEKESHA GRAYSCounty: RACINE
141 MAIN ST APT 122RACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 994-5485LEKESHA GRAYS
2,500/9,000M/F - 4
ALCOHOL/DRUG DEPENDENTCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 09/29/2011
BLESSED ASSURANCE ADULT FAMILY HOME (0013784)
09/30/2019License Renewal Fee Due*:
5638 BYRD AVERACINE WI 53406(262) 456-2008 DEPHENIA CONLEYCounty: RACINE
DEPHENIA CONLEY
5638 BYRD AVERACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 456-2008DEPHENIA CONLEY
4,562/5,049M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 02/06/2003
BRESHA SERENITY HOUSE (0009950)
02/28/2019License Renewal Fee Due*:
2115 YOUT STRACINE WI 53402
DEPHENIA CONLEYCounty: RACINE
2115 YOUT STRACINE WI 53402
Type: Class:
Low/High rate:
AFH(262) 880-6856DEPHENIA CONLEY
10,370/12,000M/F - 4
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 02/16/2017
BRESHA SERENITY HOUSE II (0016381)
02/28/2019License Renewal Fee Due*:
5424 ATHENS AVERACINE WI 53406(262) 619-1529 ANTHONY MCWHORTERCounty: RACINE
ANTHONY MCWHORTER
P O BOX 085718RACINE WI 53408
Type: Class:
Low/High rate:
AFH(262) 909-0841ANTHONY MCWHORTER
6,000/7,500M - 3
DEVELOPMENTALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 03/16/2004
BRI MC ADULT FAMILY HOME (0010466)
03/31/2020License Renewal Fee Due*:
1928 NEPTUNE AVENUERACINE WI 53404(262) 664-3360 DEANNA RINZCounty: RACINE
BRIGHTER DAY AFH LLC
1102 YOUT STREETRACINE WI 53402
Type: Class:
Low/High rate:
AFH(262) 497-4951DEANNA RINZ
3,000/12,000M/F - 4
ALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILL
Gender - Capacity:
Initial License: 04/03/2014
BRIGHTER DAY AFH (0014989)
03/31/2020License Renewal Fee Due*:
3435 ERIE STREETRACINE WI 53402(262) 800-3445 DEANNA RINZCounty: RACINE
BRIGHTER DAY AFH, LLC
1928 NEPTUNE AVENUERACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 497-4951DEANNA RINZ
3,000/12,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 12/15/2014
BRIGHTER DAY AFH TOO (0015406)
12/30/2018License Renewal Fee Due*:
4101 SHADOW LNRACINE WI 53405(262) 497-1550 LAURI ROGERSCounty: RACINE
CAMELLIA HOMES
PO BOX 85893RACINE WI 53408
Type: Class:
Low/High rate:
AFH(262) 497-1550LAURI ROGERS
4,000/6,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'STERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 09/08/2016
CAMELLIA HOMES-MAGNOLIA HOUSE (0016236)
08/31/2018License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 11
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
1435 DOUGLAS AVERACINE WI 53404(262) 412-5937 SUHER MOHAMEDCounty: RACINE
CARIBE ASSISTED LIVING II LLC
1419 SUPERIOR STREETRACINE WI 53402
Type: Class:
Low/High rate:
AFH(414) 745-0216SUHER MOHAMED
8,850/10,500M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 07/05/2017
CARIBE ASSISTED LIVING II (0016684)
06/30/2019License Renewal Fee Due*:
1415 SUPERIOR STREETRACINE WI 53402(414) 745-0216 SUHER MOHAMEDCounty: RACINE
CARIBE ASSISTED LIVING, LLC
1419 SUPERIOR STREETRACINE WI 53402
Type: Class:
Low/High rate:
AFH(414) 745-0216SUHER MOHAMED
8,500/10,850M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 07/22/2014
CARIBE ASSISTED LIVING LLC (0015001)
07/31/2018License Renewal Fee Due*:
2826 Arlington AvenueRacine WI 53403(262) 989-0047 Thomas AlexandraCounty: RACINE
141 Main Street Unit 122Racine WI 53403
Type: Class:
Low/High rate:
AFH(262) 989-0047Alexandra Thomas
3,000/10,000M/F - 3
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'STRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 02/11/2016
Caring Hearts AFH (0015586)
01/31/2020License Renewal Fee Due*:
1509 ROOSEVELT AVERACINE WI 53406(262) 456-1751 SHANTA MCKINNEYCounty: RACINE
2436 WEXFORD RDMOUNT PLEASANT WI 53405
Type: Class:
Low/High rate:
AFH(262) 994-9456SHANTA MCKINNEY
3,552/5,250M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 04/26/2012
CHARMING HOUSE II (THE) (0014105)
03/31/2020License Renewal Fee Due*:
119 CRAB TREE LANERACINE WI 53406(262) 456-4216 CHARTAYA DIGGINSCounty: RACINE
CHERISH WITH LOVE HOME, LLC
1833 WOODLAND AVENUERACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 321-4037CHARTAYA DIGGINS
6,300/7,900M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 07/22/2014
CHERISH WITH LOVE HOME (0015023)
07/31/2018License Renewal Fee Due*:
4208 MARQUETTERACINE WI 53402(262) 930-4238 CHARTAYA DIGGINSCounty: RACINE
1833 WOODLAND AVERACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 930-4238CHARTAYA DIGGINS
18,116/25,200M/F - 3
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License:
CHERISH WITH LOVE HOME LLC 2 (0016248)
10/31/2018License Renewal Fee Due*:
3908 RUBY AVERACINE WI 53402(262) 639-6252 LISA WALKERCounty: RACINE
COMMUNITY PATHWAYS LLC
PO BOX 044211RACINE WI 53402
Type: Class:
Low/High rate:
AFH(262) 639-6252LISA WALKER
4,245/4,245M/F - 4
ALCOHOL/DRUG DEPENDENTCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 12/18/2008
COMMUNITY PATHWAYS LLC RUBY HOUSE II (0012635)
12/31/2018License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 12
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
3744 DOUGLAS AVERACINE WI 53402(262) 639-6242 LISA WALKERCounty: RACINE
COMMUNITY PATHWAYS LLC
PO BOX 044211RACINE WI 53402
Type: Class:
Low/High rate:
AFH(262) 639-6252LISA WALKER
5,080/5,080M/F - 4
ALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPREGNANT WOMEN/COUNSELLINGPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 02/08/2010
COMMUNITY PATHWAYS LLC VICTORY HOUSE I (0013129)
02/28/2020License Renewal Fee Due*:
3736 DOUGLAS AVERACINE WI 53402(262) 639-0264 LISA WALKERCounty: RACINE
COMMUNITY PATHWAYS LLC
P O BOX 044211RACINE WI 53402
Type: Class:
Low/High rate:
AFH(262) 930-0483LISA WALKER
5,500/6,000M/F - 3
ALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 05/05/2011
COMMUNITY PATHWAYS LLC VICTORY HOUSE II (0013694)
04/30/2019License Renewal Fee Due*:
3906 RUBY AVERACINE WI 53402(262) 930-0483 LISA WALKERCounty: RACINE
COMMUNITY PATHWAYS LLC
PO BOX 044211RACINE WI 53402
Type: Class:
Low/High rate:
AFH(262) 639-6252LISA WALKER
4,245/4,245M/F - 4
ALCOHOL/DRUG DEPENDENTCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 06/02/2008
COMMUNITY PATHWAYS RUBY HOUSE I (0012402)
05/31/2020License Renewal Fee Due*:
3622 SOUTHWOOD DRIVERACINE WI 53406(262) 822-0174 TRENNIE EPPSCounty: RACINE
2300 ASHLAND AVENUERACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 412-7477TRENNIE EPPS
4,000/7,200M/F - 3
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 06/30/2011
COMMUNITY TIES (0013714)
05/31/2019License Renewal Fee Due*:
433 GRAHAM STRACINE WI 53405(262) 634-0712 MARIA D RODRIGUEZCounty: RACINE
COMPASSIONET & CARE LLC
2035 LATHROP AVERACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 634-0712MARIA D RODRIGUEZ
4,845/6,000M/F - 4
DEVELOPMENTALLY DISABLEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 05/18/2010
COMPASSIONET & CARE 1 (0013232)
04/30/2020License Renewal Fee Due*:
1400 S WISCONSIN AVERACINE WI 53403(262) 456-0880 MARIA RODRIGUEZCounty: RACINE
COMPASSIONET AND CARE LLC
2035 LATHROP AVERACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 880-8938MARIA D RODRIGUEZ
4,845/6,000M/F - 4
DEVELOPMENTALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 03/31/2011
COMPASSIONET AND CARE LLC II (0013655)
02/28/2019License Renewal Fee Due*:
4125 16TH STRACINE WI 53405(262) 632-1463 ANN HEDRINGTONCounty: RACINE
COUNTRY MEADOWS FAMILY CARE LLC
18012 65TH CTFRANKSVILLE WI 53126
Type: Class:
Low/High rate:
AFH(414) 397-9425ANN HEDRINGTON
15,000/17,065M/F - 4
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 06/24/2010
COUNTRY MEADOWS FAMILY CARE LLC (0013311)
05/31/2020License Renewal Fee Due*:
1009 DAVIS PLRACINE WI 53403(262) 456-6747 MARY CORNELIOUSCounty: RACINE
CORNELIOUS HOME LLC
1611 W 6 TH STRACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 637-3338MARY CORNELIOUS
3,000/3,500M/F - 4
ADVANCED AGEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 10/14/2009
DAVIS PLACE (0013014)
10/31/2019License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 13
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
1021 DELAMERE AVERACINE WI 53403(262) 902-9790 MELINDA THOMPSONCounty: RACINE
DELAMERES PLACE TO CALL HOME AFGH LLC
3315 N 81ST STMILWAUKEE WI 53222
Type: Class:
Low/High rate:
AFH(262) 902-9790MELINDA THOMPSON
5,700/7,000M/F - 3
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 04/17/2018
DELAMERES PLACE TO CALL HOME AFGH LLC (0017114)
04/30/2020License Renewal Fee Due*:
2419 JEAN AVERACINE WI 53404(262) 633-3066 MELISSA SOTOCounty: RACINE
DESTINY ADULT FAMILY HOMES LLC
PO BOX 085502RACINE WI 53408
Type: Class:
Low/High rate:
AFH(262) 633-3066HELEN CLARK MACLIN
3,000/7,500M/F - 4
ADVANCED AGEDCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 04/09/2002
DESTINY ADULT FAMILY HOME I (0009607)
04/30/2020License Renewal Fee Due*:
1009 MAYFAIR DRRACINE WI 53402(262) 681-2325 HENDERSON MACLINCounty: RACINE
DESTINY ADULT FAMILY HOMES LLC
PO BOX 085502RACINE WI 53408
Type: Class:
Low/High rate:
AFH(262) 633-3066HENDERSON MACLIN
3,000/8,000M/F - 4
ADVANCED AGEDCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 04/21/2003
DESTINY ADULT FAMILY HOME II (0010067)
04/30/2019License Renewal Fee Due*:
1011 MAYFAIR DRRACINE WI 53402(262) 308-1290 MELISSA SOTOCounty: RACINE
DESTINY ADULT FAMILY HOMES LLC
PO BOX 085502RACINE WI 53408
Type: Class:
Low/High rate:
AFH(262) 559-6543HENDERSON MACLIN
3,500/8,000M/F - 3
ADVANCED AGEDCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 10/03/2007
DESTINY ADULT FAMILY HOME III (0012075)
09/30/2019License Renewal Fee Due*:
2301 ROMAYNE AVE UPPERRACINE WI 53408(262) 619-0656 HENDERSON CLARK MACLINCounty: RACINE
PO BOX 085502RACINE WI 53408
Type: Class:
Low/High rate:
AFH(414) 559-6543HENDERSON MACLIN
4,000/8,000M/F - 3
ALCOHOL/DRUG DEPENDENTCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 06/04/2015
DESTINY ADULT FAMILY HOMES V (0015604)
05/31/2019License Renewal Fee Due*:
2301 ROMAYNERACINE WI 53404(262) 308-1290 MELISSA SOTOCounty: RACINE
DESTINY ADULT FAMILY HOMES LLC
PO BOX 085502RACINE WI 53408
Type: Class:
Low/High rate:
AFH() -HELEN CLARK MACLIN
3,500/8,000M/F - 4
ADVANCED AGEDCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 01/19/2012
DESTINY AFH LLC IV (0013920)
12/31/2019License Renewal Fee Due*:
3038 CHICKORY ROADRACINE WI 53403(262) 770-4386 DAQUET REEDCounty: RACINE
CREEKSIDE FAMILY CARE LLC
3038 CHICKORY ROADRACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 770-4386DAQUET REED
3,200/100,000M/F - 3
DEVELOPMENTALLY DISABLED
Gender - Capacity:
Initial License: 09/11/2017
DONNAS HOUSE (0016758)
08/31/2019License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 14
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
1236 BLUFF AVERACINE WI 53403(262) 504-9450 ESTELLE L BARLOWCounty: RACINE
ENDLESS CARE LLC
PO BOX 85151RACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 504-9450ESTELLE L BARLOW
3,000/10,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPREGNANT WOMEN/COUNSELLINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 05/02/2017
ENDLESS CARE LLC (0016503)
04/30/2019License Renewal Fee Due*:
2220 SUMMIT AVERACINE WI 53404(262) 456-1972 VONDA BROWNCounty: RACINE
VONDA K BROWN
141 OHIO STRACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 822-7961VONDA BROWN
4,265/5,130M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 06/25/2009
EXCEL (0012795)
06/30/2019License Renewal Fee Due*:
139 OHIO STREETRACINE WI 53405(262) 456-6289 VONDECAIR BROWNCounty: RACINE
141 OHIO STRACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 822-7961VONDECAIR BROWN
3,940/5,000M/F - 4
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 04/22/2014
EXCEL FOUR (0015035)
04/30/2020License Renewal Fee Due*:
2019 GREEN ST LOWERRACINE WI 53402(262) 800-1384 JASMINE MALONECounty: RACINE
2019 GREEN ST UPPERRACINE WI 53402
Type: Class:
Low/High rate:
AFH(262) 383-1443JASMINE MALONE
5,200/6,800M/F - 4
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 11/27/2017
EXCEL R3 (0016698)
11/30/2019License Renewal Fee Due*:
2040 CASE AVERACINE WI 53405(262) 583-1327 VONDECAIR BROWNCounty: RACINE
VONDECAIR BROWN
141 OHIO STRACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 822-7961VONDECAIR BROWN
3,940/5,000M/F - 4
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 01/21/2016
EXCEL SIX (0015750)
01/31/2020License Renewal Fee Due*:
4300 MARYLAND AVERACINE WI 53405(262) 456-2451 VONDA BROWNCounty: RACINE
141 OHIO STRACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 822-7961VONDA BROWN
4,500/5,301M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 06/30/2011
EXCEL THREE (0013704)
05/31/2019License Renewal Fee Due*:
2051 CHARLES STRACINE WI 53402(262) 260-8825 VONDA BROWNCounty: RACINE
141 OHIO STRACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 822-7961VONDA BROWN
3,480/4,000M/F - 4
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 12/17/2009
EXCEL TWO (0013125)
12/31/2019License Renewal Fee Due*:
5025 MARYLAND AVERACINE WI 53406(262) 456-6535 DYLAND WEATHERCounty: RACINE
FAITH COMMUNITY ADULT GROUP HOME LLC
115 ALGONQUIN STREETBATTLE CREEK MI 49037
Type: Class:
Low/High rate:
AFH(262) 989-0232DONALD W WATSON
4,582/4,950M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 09/25/2013
FAITH COMMUNITY ADULT GROUP HOME (0014776)
09/30/2019License Renewal Fee Due*:
3317 OAKWOOD DRIVERACINE WI 53406(262) 554-3233 DYLAND WEATHERCounty: RACINE
FAITH COMMUNITY ADULT GROUP HOME LLC
115 ALGONQUIN STREETBATTLE CREEK MI 49037
Type: Class:
Low/High rate:
AFH(262) 989-0232DONALD WATSON
4,500/4,900M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDING
Gender - Capacity:
Initial License: 01/19/2012
FAITH GROUP HOME (0013990)
12/31/2019License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 15
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
2044 FRANKLIN STREETRACINE WI 53403(262) 721-4602 NORA L JONESCounty: RACINE
FLORAS PLACE
2016 MEAD STREETRACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 721-4602NORA L JONES
3,000/10,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 02/06/2017
FLORAS PLACE (0016410)
01/31/2019License Renewal Fee Due*:
1426 CARLISLE AVERACINE WI 53404(262) 637-4709 EUREKA BELLCounty: RACINE
FORGET ME NOT LLC
1426 CARLISLE AVERACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 637-4709EUREKA BELL
3,000/10,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 05/25/2017
FORGET ME NOT (0016613)
05/31/2019License Renewal Fee Due*:
1743 SPRING STREETRACINE WI 53404(262) 770-4084 ROMAN YISSAKCounty: RACINE
GOLDEN AGE CARE, LLC
2310 S GREEN BAY RD STE C #297RACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 770-4084ROMAN YISSAK
4,200/4,650M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 11/26/2013
GOLDEN AGE CARE (1743) (0014855)
11/30/2019License Renewal Fee Due*:
1745 SPRING STREETRACINE WI 53404(262) 770-4084 ROMAN YISSAKCounty: RACINE
GOLDEN AGE CARE, LLC
2310 S GREEN BAY RD STE C #297RACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 770-4084ROMAN YISSAK
4,200/4,650M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 11/26/2013
GOLDEN AGE CARE (1745) (0014856)
11/30/2019License Renewal Fee Due*:
1663 Village DriveRacine WI 53406(262) 770-4084 Abraham IsaacCounty: RACINE
Golden Age Care 1661 LLC
2310 S Green Bay Rd Ste C #297Racine WI 53406
Type: Class:
Low/High rate:
AFH(414) 739-1609Abraham Isaac
4,200/4,650M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILL
Gender - Capacity:
Initial License: 08/19/2015
Golden Age Care 1663 (0015594)
08/31/2019License Renewal Fee Due*:
3023 GILSON STREETRACINE WI 53403(702) 301-2364 JOREENA COBBCounty: RACINE
HEALING HANDZ HOMECARE LLC
3023 GILSON STREETRACINE WI 53403
Type: Class:
Low/High rate:
AFH(702) 301-2364JOREENA COBB
5,000/5,500M/F - 3
ALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 06/16/2017
HEALING HANDZ (0016644)
06/30/2019License Renewal Fee Due*:
3711 LATHROP AVERACINE WI 53405(262) 554-6239 RACHEL JOHNSONCounty: RACINE
HERITAGE HOMES LIVING, LLC
1209 NEWMAN ROADRACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 939-5000RACHEL JOHNSON
5,448/8,548M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 05/28/2014
HERITAGE HOMES LIVING LLC (0015046)
05/31/2020License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 16
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
4119 LASALLE STREETRACINE WI 53402(262) 554-4715 PATSY MUNOZCounty: RACINE
PATSY J MUNOZ
3127 DEBRA LNRACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 554-4715PATSY MUNOZ
6,000/12,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'STRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 01/30/2017
HOME OF HFL LLC (0016341)
01/31/2019License Renewal Fee Due*:
3339 MONARCH DRIVERACINE WI 53403(262) 939-3666 AMIT PATELCounty: RACINE
HOMEWOOD ADULT FAMILY HOME LLC
2054 KEARNEY AVENUERACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 939-3666AMIT PATEL
6,500/8,500M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'STRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 04/08/2015
HOMEWOOD ADULT FAMILY HOME LLC (0015517)
03/31/2019License Renewal Fee Due*:
3100 BARBARA DRRACINE WI 53402(262) 554-7057 REGINIA JOHNSONCounty: RACINE
SHERRIAN BOYD
1939 JAY EYE SEE AVRACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 632-1082SHERRIAN BOYD
12,540/16,642M - 4
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 09/23/2013
HOPE AWAY FROM HOME (0014727)
09/30/2019License Renewal Fee Due*:
2826 ORCHARD STRACINE WI 53405(262) 488-0850 BOBBIE HICKSCounty: RACINE
HICKS INC
2328 VIRGINIA STRACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 488-0850BOBBIE HICKS
3,000/7,500M/F - 3
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 09/20/2017
HOUSE OF FAITH HOPE LOVE 2 (0016501)
09/30/2019License Renewal Fee Due*:
1518 HARMONY DRRACINE WI 53402
THERESA LOVE TOMLINCounty: RACINE
1318 CENTER STREETRACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 989-1629THERESA LOVE TOMLIN
4,000/4,750M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'STRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 06/20/2016
HOUSE OF LOVE LLC ADULT FAMILY HOME (0016121)
06/30/2020License Renewal Fee Due*:
2201 HOWE STRACINE WI 53403(262) 752-3830 CHANEL NELSONCounty: RACINE
NATURALLY NURTURED LLC
1430 VILLA STRACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 752-3830CHANEL NELSON
3,500/10,500M/F - 3
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License:
HOWE WE NATURALLY NURTURE (0016458)
09/30/2019License Renewal Fee Due*:
6 MCKINLEY AVENUERACINE WI 53404(262) 880-6019 SHAKITA BOBOCounty: RACINE
HUNTING FOR MORE LOVE LLC
6005 JOANNE DR APT 202MT PLEASANT WI 53406
Type: Class:
Low/High rate:
AFH(262) 880-6019SHAKITA BOBO
3,500/5,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 08/09/2017
HUNTING FOR MORE LOVE (0016649)
07/31/2019License Renewal Fee Due*:
1329 KEWAUNEE STREETRACINE WI 53404(262) 930-3339 TATREANA MAYFIELDCounty: RACINE
1329 KEWAUNEE STREETRACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 412-6226TATREANA MAYFIELD
4,190/4,340M/F - 4
ALCOHOL/DRUG DEPENDENTCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPREGNANT WOMEN/COUNSELLING
Gender - Capacity:
Initial License: 01/21/2016
INDEPENDENT MOVEMENT (0015466)
01/31/2020License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 17
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
1429 OREGON STREETRACINE WI 53405(262) 681-2530 SHANTA MCKINNEYCounty: RACINE
HANDS OF HOPE RESIDENTIAL LLC
2436 WEXFORD ROADRACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 994-9756SHANTA MCKINNEY
4,000/4,500M/F - 3
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 06/06/2017
IVYS PLACE (0016617)
05/31/2019License Renewal Fee Due*:
2519 LORAINE AVERACINE WI 53404(262) 637-7097 LAVONDA PERKINSCounty: RACINE
K&D ADULT FAMILY HOME LLC
35189 VIA LAGUNAWINCHESTER CA 92596
Type: Class:
Low/High rate:
AFH(760) 500-5908MARK A GILL
160/190M/F - 4
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 07/01/2009
K&D ADULT FAMILY HOME LLC (0012674)
06/30/2019License Renewal Fee Due*:
3707 10TH AVERACINE WI 53402(262) 637-7097 LAVONDA PERKINSCounty: RACINE
K&D ADULT FAMILY HOME LLC
35189 VIA LAGUNAWINCHESTER CA 92596
Type: Class:
Low/High rate:
AFH(760) 500-5908MARK A GILL
3,000/4,000M/F - 4
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 02/23/2010
K&D ADULT FAMILY HOMES LLC II (0013176)
02/28/2020License Renewal Fee Due*:
3709 10TH AVERACINE WI 53402(262) 930-2925 LAVONDA PERKINSCounty: RACINE
K&D ADULT FAMILY HOME LLC
35189 VIA LAGUNAWINCHESTER CA 92596
Type: Class:
Low/High rate:
AFH(760) 500-5908MARK A GILL
2,500/3,500M/F - 3
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 07/13/2011
K&D AFH LLC #3 (0013710)
06/30/2019License Renewal Fee Due*:
2627 JEAN AVERACINE WI 53404(262) 994-8319 LAVONDA PERKINSCounty: RACINE
K&D ADULT FAMILY HOME LLC
2818 DONNA AVERACINE WI 53404
Type: Class:
Low/High rate:
AFH(760) 500-5908LAVONDA PERKINS
3,000/4,000M/F - 3
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 05/18/2017
K&D AFH LLC 4 (0016513)
05/31/2019License Renewal Fee Due*:
2903 KENWOOD DRRACINE WI 53403(262) 456-4229 HOPE SOUTERCounty: RACINE
KENWOOD KEYS INC
PO BOX 085465RACINE WI 53408
Type: Class:
Low/High rate:
AFH(262) 456-1801HOPE SOUTER
4,500/11,873M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 04/28/2015
KENWOOD KEYS INCORPORATED KENWOOD 2 (0015571)
04/30/2019License Renewal Fee Due*:
1901 SATURN AVERACINE WI 53404(262) 488-1131 DANIEL RODRIGUEZCounty: RACINE
KIND CARE LLC
1901 SATURN AVERACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 488-1131DANIEL RODRIGUEZ
4,200/6,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'STRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 07/13/2017
KIND CARE LLC (0016364)
06/30/2019License Renewal Fee Due*:
4618 KINZIE AVERACINE WI 53405(262) 456-2388 HOPE SOUTERCounty: RACINE
KENWOOD KEYS INC
PO BOX 085465RACINE WI 53406-5465
Type: Class:
Low/High rate:
AFH(262) 456-2388HOPE SOUTER
4,397/5,205M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 04/27/2009
KINZIE PLACE (0012747)
04/30/2019License Renewal Fee Due*:
3900 KNOLL PLACERACINE WI 53403(262) 456-1801 HOPE SOUTERCounty: RACINE
KINZIE WAY LLC
PO BOX 085465RACINE WI 53408
Type: Class:
Low/High rate:
AFH(262) 498-6640HOPE SOUTER
5,000/9,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 05/22/2018
KINZIE WAY LLC (0017042)
05/31/2020License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 18
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
3800 KNOLL PLRACINE WI 53403(262) 456-0574 HOPE SOUTERCounty: RACINE
KENWOOD KEYS INC
PO BOX 085465RACINE WI 53408-5465
Type: Class:
Low/High rate:
AFH(262) 456-6640HOPE SOUTER
4,500/11,873M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 05/03/2007
KNOLL PLACE (0011487)
04/30/2019License Renewal Fee Due*:
1824 HOLMES AVERACINE WI 53403(262) 327-1962 NAKHAKA DAVISCounty: RACINE
LIBERTY WILLOWS ADULT FAMILY HOME LLC
1703 HOLMES AVERACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 327-1962NAKHAKA DAVIS
5,800/6,900M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 10/17/2017
LIBERTY WILLOWS ADULT FAMILY HOME LLC (0016800)
10/31/2019License Renewal Fee Due*:
3620 SOVEREIGN DRRACINE WI 53406(262) 412-7054 JACQUELINE MCRAECounty: RACINE
LIFESTYLE ADULT CARE HOMES LLC
P O BOX 085943RACINE WI 53408
Type: Class:
Low/High rate:
AFH(262) 412-7054JACQUELINE MCRAE
4,000/6,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 02/08/2010
LIFESTYLE ADULT FAMILY HOME 1 (0010694)
01/31/2020License Renewal Fee Due*:
3628 SOVEREIGN DRRACINE WI 53406(262) 412-7054 JACQUELINE MCRAECounty: RACINE
LIFESTYLE ADULT CARE HOMES LLC
P O BOX 085943RACINE WI 53408
Type: Class:
Low/High rate:
AFH(262) 412-7054JACQUELINE MCRAE
4,000/6,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'STRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 04/04/2011
LIFESTYLE ADULT FAMILY HOME 2 (0013686)
03/31/2019License Renewal Fee Due*:
3614 SOVEREIGN DRRACINE WI 53406(262) 412-7054 JACQUELINE MCRAECounty: RACINE
LIFESTYLE ADULT CARE HOMES LLC
P O BOX 085943RACINE WI 53408
Type: Class:
Low/High rate:
AFH(262) 412-7054JACQUELINE MCRAE
4,000/6,500M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 11/23/2011
LIFESTYLE ADULT FAMILY HOME 3 (0013861)
10/31/2019License Renewal Fee Due*:
3616 SOVEREIGN DRIVERACINE WI 53406(262) 554-6614 JACQUELINE MCRAECounty: RACINE
LIFESTYLE ADULT CARE HOMES, LLC
PO BOX 085943RACINE WI 53408
Type: Class:
Low/High rate:
AFH(262) 412-7054JACQUELINE MCRAE
4,000/6,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 07/11/2013
LIFESTYLE ADULT FAMILY HOME 4 (0014696)
06/30/2019License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 19
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
5224 ADMIRALTY DRIVERACINE WI 53406(262) 554-1934 JACQUELINE MCRAECounty: RACINE
LIFESTYLE ADULT CARE HOMES, LLC
PO BOX 085943RACINE WI 53408
Type: Class:
Low/High rate:
AFH(262) 412-7054JACQUELINE MCRAE
4,000/8,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 03/10/2014
LIFESTYLE ADULT FAMILY HOME 5 (0014939)
02/28/2020License Renewal Fee Due*:
1001 CENTER STRACINE WI 53403(414) 610-5984 NOOR TWAMCounty: RACINE
LOVE N COMFORT LLC
1001 CENTER STRACINE WI 53403
Type: Class:
Low/High rate:
AFH(414) 610-5984NOOR TWAM
8,000/9,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'STERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 02/28/2017
LOVE N COMFORT GROUP HOME (0016423)
02/28/2019License Renewal Fee Due*:
1638 ECHO LNRACINE WI 53403(262) 412-5219 NICOLE COBBCounty: RACINE
LOVE OF CARING LLC
922 WISCONSIN AVERACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 412-5219NICOLE COBB
3,500/4,500M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURYWAIVER CERTIFIED INDEPENDENT CBRF APTS
Gender - Capacity:
Initial License: 10/16/2012
LOVE OF CARING LLC (0014227)
09/30/2018License Renewal Fee Due*:
101 HOWLAND AVERACINE WI 53403(262) 412-5219 NICOLE COBBCounty: RACINE
LOVE OF CARING LLC
1638 ECHO LANERACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 412-5219NICOLE COBB
3,500/4,500M - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 11/14/2011
LOVE OF CARING LLC (0013582)
10/31/2019License Renewal Fee Due*:
2214 WILLIAM STREETRACINE WI 53406(262) 412-5219 NICOLE COBBCounty: RACINE
LOVE OF CARING LLC
1638 ECHO LANERACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 412-5219NICOLE COBB
4,550/6,000M/F - 4
ADVANCED AGEDCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 12/06/2016
LOVE OF CARING LLC DAISY AFH (0016012)
11/30/2018License Renewal Fee Due*:
1834 13TH STREETRACINE WI 53403(262) 412-5219 NICOLE COBBCounty: RACINE
LOVE OF CARING LLC
1638 ECHO LANERACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 412-5219NICLOE COBB
4,835/6,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 12/06/2016
LOVE OF CARING LLC TULIP AFH (0016015)
11/30/2018License Renewal Fee Due*:
703 HAYES AVERACINE WI 53405(262) 721-6907 JAMIE YOUNGCounty: RACINE
P O BOX 81232RACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 721-6907JAMIE YOUNG
3,000/10,000M/F - 3
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 09/17/2015
LOVING MEADOWS AFH (0015762)
09/30/2019License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 20
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
4140 MANHATTAN DRIVERACINE WI 53402(262) 902-9790 MELINDA THOMPSONCounty: RACINE
MANHATTAN HOME ADULT FAMILY GROUP HOM
310 5TH STREET SUITE 101BRACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 902-9790MELINDA THOMPSON
4,000/5,700M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 12/08/2015
MANHATTAN HOME ADULT FAMILY GROUP HOME (001545
11/30/2019License Renewal Fee Due*:
2400 KINZIE AVERACINE WI 53405(262) 637-8362 BEATRICE JOHNSONCounty: RACINE
MANNA HOUSE ADULT FAMILY HOME LLC (THE)
2400 KINZIE AVERACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 902-3338BEATRICE JOHNSON
4,250/6,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 12/17/2009
MANNA HOUSE (THE) (0012956)
12/31/2019License Renewal Fee Due*:
5140 KINGS CIRCLERACINE WI 53406(262) 456-1087 LUIS GONZALEZCounty: RACINE
5140 KINGS CIRCLERACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 945-4249LUIS GONZALEZ
10,000/11,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 10/30/2014
MARINAS GROUP HOME (0015330)
10/31/2018License Renewal Fee Due*:
920 OHIO STREETRACINE WI 53405(262) 632-1993 GERALD L HOUSE LISA WALKER-HOUSECounty: RACINE
GERALD L HOUSE & LISA WALKER-HOUSE
3425 KENTUCKY STREETRACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 632-1993LISA WALKER-HOUSE
2,500/3,500M - 3
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 02/07/2013
MARSHAS ADULT FAMILY HOME LLC (0014517)
01/31/2019License Renewal Fee Due*:
2023 GILLEN STREETRACINE WI 53403(262) 939-6661 TARAL PATELCounty: RACINE
MIL FAMILY CARE LLC
3839 BLOSSOM DRIVERACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 939-6661TARAL PATEL
2,800/9,500M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 01/15/2016
MIL FAMILY CARE LLC (0015580)
01/31/2020License Renewal Fee Due*:
1644 DEANE BLVDRACINE WI 53405(262) 977-0717 CIARA READYCounty: RACINE
1644 DEANE BLVDRACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 977-0717CIARA READY
5,000/10,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 08/01/2016
MORNING GLORY ADULT FAMILY HOME (0016150)
07/31/2018License Renewal Fee Due*:
2301 WILLIAM STRACINE WI 53404(262) 822-4603 CHAUNTEL VINSONCounty: RACINE
MOUNT PLEASANT HOMES LLP
PO BOX 44132RACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 412-9299CHAUNTEL VINSON
4,000/7,500M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 04/25/2018
MOUNT PLEASANT HOMES (0017090)
04/30/2020License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 21
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
1917 MOUNT PLEASANT STRACINE WI 53404-2628(262) 822-4603 CHAUNTEL VINSONCounty: RACINE
MOUNT PLEASANT HOMES LLP
PO BOX 44132RACINE WI 53402
Type: Class:
Low/High rate:
AFH(262) 412-9299CHAUNTEL VINSON
4,000/M/F - 3
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 02/23/2017
MOUNT PLEASANT HOMES LLP (0016430)
02/28/2019License Renewal Fee Due*:
4307 WRIGHT AVERACINE WI 53405(262) 752-3830 CHANEL NELSONCounty: RACINE
NATURALLY NURTURED
1430 VILLA STRACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 752-3830CHANEL NELSON
4,000/10,500M/F - 3
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 10/20/2016
NATURALLY NURTURED (0016278)
10/31/2018License Renewal Fee Due*:
7931 DANIEL CTRACINE WI 53406(262) 554-0142 SHALANDA BEDFORDCounty: RACINE
NEW VISION ADULT FAMILY HOME LLC
PO BOX 085782RACINE WI 53408-5782
Type: Class:
Low/High rate:
AFH(262) 554-9566SHALANDA BEDFORD
3,000/4,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 05/11/2007
NEW VISION ADULT FAMILY HOME LLC (0011964)
04/30/2019License Renewal Fee Due*:
3706 OAKWOOD DRIVERACINE WI 53406(262) 822-9862 JESSICA APPLEWHITECounty: RACINE
1333 INDIANA STREETRACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 822-9862JESSICA APPLEWHITE
1,500/3,500M/F - 4
ALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 12/19/2016
NEW WAY OF LIVING ADULT FAMILY HOME (0016138)
12/31/2018License Renewal Fee Due*:
1223 OHIO STRACINE WI 53405(262) 456-1246 CYLINTIA KNIBBSCounty: RACINE
1223 OHIO STRACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 456-1246CYLINTIA KNIBBS
2,500/4,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 03/01/2004
OHIO ST FAMILY HOME (0010007)
02/28/2020License Renewal Fee Due*:
4845 NATURE TRAILRACINE WI 53403(262) 554-6165 CONNIE OLIVERCounty: RACINE
4845 NATURE TRAILRACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 554-6165CONNIE OLIVER
3,000/9,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 08/21/2008
OLIVER ADULT FAMILY HOME (0012467)
08/31/2018License Renewal Fee Due*:
1621 VIRGINIA STRACINE WI 53403(262) 456-4259 LYNETTE DUKQUITSCounty: RACINE
OPEN ARMS 20 LLC
5335 TAYLOR AVEMOUNT PLEASANT WI 53403
Type: Class:
Low/High rate:
AFH(414) 915-8588BASHAR QEDAN
5,999M/F - 4
ADVANCED AGEDPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 08/15/2016
OPEN ARMS 20 LLC (0016257)
08/31/2018License Renewal Fee Due*:
3519 GREAT ELMS LNRACINE WI 53405(262) 456-2459 LYNETTE DUKQUITSCounty: RACINE
OPEN ARMS 20 LLC
5335 TAYLOR AVEMOUNT PLEASANT WI 53403
Type: Class:
Low/High rate:
AFH(414) 915-8588BASHAR QEDAN
5,999M/F - 4
ADVANCED AGEDPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 11/10/2016
OPEN ARMS 20 LLC GREAT ELMS (0016387)
10/31/2018License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 22
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
3200 TAYLOR AVERACINE WI 53405(262) 456-2459 LYNETTE DUKQUITSCounty: RACINE
OPEN ARMS 20 LLC
5335 TAYLOR AVEMOUNT PLEASANT WI 53403
Type: Class:
Low/High rate:
AFH(414) 915-8588BASHAR QEDAN
5,999M/F - 4
ADVANCED AGEDPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 11/09/2016
OPEN ARMS 20 LLC TAYLOR (0016388)
10/31/2018License Renewal Fee Due*:
2114 ORCHARD STRACINE WI 53405(262) 880-1873 COURTNEY CONNERCounty: RACINE
ORCHARD ADULT FAMILY HOME LLC
PO BOX 44375RACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 880-1873COURTNEY CONNER
6,000/M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 03/02/2017
ORCHARD ADULT FAMILY HOME LLC (0016415)
02/28/2019License Renewal Fee Due*:
3410 STRATFORD AVERACINE WI 53402(262) 639-6940 ANGELA ANDERSENCounty: RACINE
COMMUNITY CONNECTION LLC
5225 N IRONWOOD LA STE 116GLENDALE WI 53217
Type: Class:
Low/High rate:
AFH(414) 906-1915ROBERT LIEBERMAN
5,735/5,735M/F - 4
DEVELOPMENTALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 01/03/2001
PARADISE HOUSE (0009180)
01/31/2019License Renewal Fee Due*:
129 SHEFFIELD DRRACINE WI 53402(262) 639-5832 ANGELA ANDERSENCounty: RACINE
COMMUNITY CONNECTION LLC
5225 N IRONWOOD LA STE 116GLENDALE WI 53217
Type: Class:
Low/High rate:
AFH(414) 906-1915ROBERT LIEBERMAN
4,560/4,560M - 4
DEVELOPMENTALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 05/31/1996
PHOENIX HOUSE (390092)
05/31/2020License Renewal Fee Due*:
1663 RUSSET STREETRACINE WI 53405(262) 598-4562 LUCY BURGESSCounty: RACINE
PRICELESS TIME ADULT FAMILY HOME LLC
P O BOX 85157RACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 598-4562LUCY BURGESS
5,000/15,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 08/15/2017
PRICELESS TIME ADULT FAMILY HOME IV (0016756)
08/31/2019License Renewal Fee Due*:
1819 BLAKE AVENUERACINE WI 53404(262) 994-3821 LUCY BURGESSCounty: RACINE
PRICELESS TIME ADULT FAMILY HOME LLC
1821 BLAKE AVENUERACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 598-4562LUCY BURGESS
4,000/15,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 05/08/2014
PRICELESS TIME ADULT FAMILY HOME LLC (0015024)
04/30/2020License Renewal Fee Due*:
2807 DONNA AVERACINE WI 53404(262) 880-6019 SHAKITA BOBOCounty: RACINE
HUNTING FOR MORE LOVE LLC
6005 JOANNE DR APT 202MT PLEASANT WI 53406
Type: Class:
Low/High rate:
AFH(262) 880-6019SHAKITA BOBO
3,500/5,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 01/05/2018
PRIDE AND JOY ADULT FAMILY GROUP HOME LLC (001687
12/31/2019License Renewal Fee Due*:
1508 RUSSET STRACINE WI 53405(262) 456-7447 KIMBERLY JOHNSONCounty: RACINE
QUALITY CARE ADULT FAMILY HOME LLC
1916 SATURN AVERACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 721-8933KIMBERLY JOHNSON
7,000/9,500M/F - 3
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 06/30/2016
QUALITY CARE ADULT FAMILY HOME II (0016090)
06/30/2020License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 23
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
1916 SATURN AVERACINE WI 53404(262) 583-4593 KIMBERLY JOHNSONCounty: RACINE
QUALITY CARE ADULT FAMILY HOME LLC
1916 SATURN AVERACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 721-8933KIMBERLY JOHNSON
6,000/9,500M/F - 3
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 10/19/2015
QUALITY CARE ADULT FAMILY HOME LLC (0015833)
10/31/2019License Renewal Fee Due*:
1209 NEWMAN RDRACINE WI 53406(262) 939-5000 RACHEL JOHNSONCounty: RACINE
1209 NEWMAN RDRACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 939-5000RACHEL JOHNSON
3,049/5,064M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 05/13/2011
R JOHNSON HERITAGE HOMES (0013736)
04/30/2019License Renewal Fee Due*:
1936 FRANKLINRACINE WI 53403(262) 822-4303 ANTWAIN MCINTOSHCounty: RACINE
ROOTS RESIDENTIAL ADULT FAMILY HOME LLC
PO BOX 44035RACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 880-5606ANTWAIN MCINTOSH
4,000/7,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 05/01/2017
ROOTS RESIDENTIAL ADULT FAMILY HOME LLC (0016564)
04/30/2019License Renewal Fee Due*:
1901 FAIRVIEW TERRACERACINE WI 53402(262) 583-4743 ANTWAIN MCINTOSHCounty: RACINE
ROOTS RESIDENTIAL ADULT FAMILY HOME LLC
PO BOX 44035RACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 880-5606ANTWAIN MCINTOSH
4,000/7,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 05/01/2017
ROOTS RESIDENTIAL ADULT FAMILY HOME LLC (0016563)
04/30/2019License Renewal Fee Due*:
1715 LASALLE STREET UPPERRACINE WI 53402(262) 456-4144 ANTWAIN MCINTOSHCounty: RACINE
ROOTS RESIDENTIAL ADULT FAMILY HOMES LL
PO BOX 44035RACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 880-5606ANTWAIN MCINTOSH
4,000/7,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 08/04/2016
ROOTS RESIDENTIAL ADULT FAMILY HOMES LLC (0016034
07/31/2018License Renewal Fee Due*:
1715 LASALLE STREET LOWERRACINE WI 53402(262) 456-4144 ANTWAIN MCINTOSHCounty: RACINE
ROOTS RESIDENTIAL ADULT FAMILY HOMES LL
PO BOX 44035RACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 880-5606ANTWAIN MCINTOSH
4,000/7,000M/F - 3
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESS
Gender - Capacity:
Initial License: 04/11/2016
ROOTS RESIDENTIAL ADULT FAMILY HOMES LLC (0016022
03/31/2020License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 24
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
3219 BARBARA DRIVERACINE WI 53404(262) 770-4909 LANA SCHLAGELCounty: RACINE
SAFE HARBOUR HOMES, LLC
8517 IVANHOE PLACERACINE WI 53177
Type: Class:
Low/High rate:
AFH(262) 930-6497WALTER DAVIS
3,875/5,425M/F - 4
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 12/04/2013
SAFE HARBOUR HOMES II LLC (0014832)
11/30/2019License Renewal Fee Due*:
1103 JACKSON PLACERACINE WI 53406(262) 930-6497 LANA SCHLAGELCounty: RACINE
SAFE HARBOUR HOMES LLC
8517 IVANHOE PLACERACINE WI 53177
Type: Class:
Low/High rate:
AFH(262) 822-0723DAVIS WALTER
3,875/5,500 - 4
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 11/16/2015
SAFE HARBOUR HOMES III (0015821)
11/30/2019License Renewal Fee Due*:
1105 JACKSON PLACERACINE WI 53406(262) 930-6497 LANA SCHLAGELCounty: RACINE
SAFE HARBOUR HOMES LLC
8517 IVANHOE PLACERACINE WI 53177
Type: Class:
Low/High rate:
AFH(262) 822-0723DAVIS WALTER
3,875/5,500M/F - 4
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 11/16/2015
SAFE HARBOUR HOMES IV (0015822)
11/30/2019License Renewal Fee Due*:
5224 16TH STREETRACINE WI 53403(262) 770-4909 LANA SCHLAGELCounty: RACINE
SAFE HARBOUR HOMES, LLC
8517 IVANHOE PLACESTURTEVANT WI 53177
Type: Class:
Low/High rate:
AFH(262) 930-6497WALTER DAVIS
3,875/5,425M/F - 4
ADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 12/05/2013
SAFE HARBOUR HOMES LLC (0014831)
11/30/2019License Renewal Fee Due*:
825 SANDRA CTRACINE WI 53403(262) 939-5621 TWILA COBBCounty: RACINE
HEART FOR CARING HOME CARE LLC
825 SANDRA CTRACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 939-5621TWILA COBB
3,500/5,500M/F - 3
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 08/27/2012
SANDRA HOME (0014210)
07/31/2018License Renewal Fee Due*:
3700 OSBORNE BLVDRACINE WI 53405(404) 414-0237 CHERYL WALKERCounty: RACINE
3700 OSBORNE BLVDRACINE WI 53405
Type: Class:
Low/High rate:
AFH(404) 414-0237CHERYL WALKER
2,500/6,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'S
Gender - Capacity:
Initial License: 05/18/2015
SERENITY ON OSBORNE (0015573)
05/31/2019License Renewal Fee Due*:
513 RANDOLPH STREETRACINE WI 53404(773) 368-6428 RICKY COLEMANCounty: RACINE
SHARING IS CARING LLC
513 RANDOLPH STREETRACINE WI 53404
Type: Class:
Low/High rate:
AFH(773) 368-6428RICKY COLEMAN
4,095/4,095M - 3
ADVANCED AGEDDEVELOPMENTALLY DISABLEDIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 04/30/2014
SHARING IS CARING (0014723)
04/30/2020License Renewal Fee Due*:
3507 16TH STREETRACINE WI 53405(262) 748-6445 DARIUS YOUNGCounty: RACINE
ST REGIS MANOR AFH LLC
4316 16TH STREETRACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 748-6445DARIUS YOUNG
7,440/10,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 10/23/2017
ST REGIS MANOR AFH (0016816)
10/31/2019License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 25
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
826 PARK AVENUERACINE WI 53403(262) 456-7580 EDNA J YOUNGCounty: RACINE
TIME TO TREASURE AFH LLC
PO BOX 597OAK CREEK WI 53154
Type: Class:
Low/High rate:
AFH(262) 880-7036EDNA J YOUNG
3,000/10,000M/F - 4
ADVANCED AGEDCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'STERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 04/07/2014
THE TREASURE HOUSE (0014997)
03/31/2020License Renewal Fee Due*:
2209 PROSPECT STREETRACINE WI 53406(262) 634-3266 EDNA J YOUNGCounty: RACINE
TIME TO TREASURE AFH S CORPORATION
P O BOX 597OAK CREEK WI 53154
Type: Class:
Low/High rate:
AFH(262) 880-7036EDNA J YOUNG
5,000/10,000M - 4
ADVANCED AGEDCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 02/19/2013
TIME TO TREASURE AFH 3 S CORPORATION (0014526)
02/28/2019License Renewal Fee Due*:
842 PARK AVENUERACINE WI 53403(262) 636-0082 EDNA J YOUNGCounty: RACINE
TIME TO TREASURE AFH S CORPORATION
P O BOX 597OAK CREEK WI 53154
Type: Class:
Low/High rate:
AFH(262) 880-7036EDNA J YOUNG
5,000/10,000M/F - 3
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'STERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 02/19/2013
TIME TO TREASURE AFH 4 S CORPORATION (0014527)
02/28/2019License Renewal Fee Due*:
5230 BISCAYNE AVERACINE WI 53406(262) 554-7425 EDNA J YOUNGCounty: RACINE
TIME TO TREASURE AFH S CORPORATION
P O BOX 597OAK CREEK WI 53154
Type: Class:
Low/High rate:
AFH(262) 880-7036EDNA J YOUNG
5,000/10,000F - 3
ADVANCED AGEDCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 02/19/2013
TIME TO TREASURE AFH 5 S CORPORATION (0014528)
02/28/2019License Renewal Fee Due*:
5232 BISCAYNE AVERACINE WI 53406(262) 800-3406 EDNA J YOUNGCounty: RACINE
TIME TO TREASURE AFH S CORPORATION
P O BOX 597OAK CREEK WI 53154
Type: Class:
Low/High rate:
AFH(262) 880-7036EDNA J YOUNG
5,000/10,000M - 3
ADVANCED AGEDCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'STRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 02/19/2013
TIME TO TREASURE AFH 6 S CORPORATION (0014529)
02/28/2019License Renewal Fee Due*:
4381 S PINE RIDGE CRRACINE WI 53403(262) 598-0213 JILL TORGERSONCounty: RACINE
JILL TORGERSON
4381 S PINE RIDGE CRRACINE WI 53403
Type: Class:
Low/High rate:
AFH(262) 598-0231JILL TORGERSON
5,061/5,521M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 03/28/2011
TORGERSON ADULT FAMILY HOME (0013658)
02/28/2019License Renewal Fee Due*:
925 CRAB TREE LANERACINE WI 53406(262) 637-4388 DYLAND WEATHERCounty: RACINE
FAITH COMMUNITY ADULT GROUP HOME LLC
115 ALGONQUIN STBATTLE CREEK MI 49037
Type: Class:
Low/High rate:
AFH(262) 989-0232DONALD WATSON
4,582/5,631M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 04/18/2013
TRINITY ADULT FAMILY HOME (0014556)
04/30/2019License Renewal Fee Due*:
5532 BYRD AVERACINE WI 53406(262) 634-7320 MARIA RODRIGUEZCounty: RACINE
TRUE LIFE HOMES LLC
2035 LATHROP AVERACINE WI 53402
Type: Class:
Low/High rate:
AFH(262) 456-0880MARIA RODRIGUEZ
2,500/4,000M - 4
DEVELOPMENTALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 12/21/2004
TRUE LIFE HOMES I (0010761)
12/30/2018License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 26
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
920 SOUTH STRACINE WI 53402(262) 456-4191 MARIA RODRIGUEZCounty: RACINE
TRUE LIFE HOMES LLC
2035 LATHROP AVERACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 456-0880MARIA RODRIGUEZ
6,000/24,000M/F - 4
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 10/18/2006
TRUE LIFE HOMES II (0011524)
10/31/2018License Renewal Fee Due*:
2620 JEAN AVERACINE WI 53404(262) 456-2173 DANIEL/MARIA RODRIGUEZCounty: RACINE
TRUE LIFE HOMES LLC
2035 LATHROP AVERACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 456-0880DANIEL RODRIGUEZ
3,000/8,000M/F - 4
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 06/12/2008
TRUE LIFE HOMES III (0012374)
06/30/2020License Renewal Fee Due*:
621 THUNDERBIRD DRRACINE WI 53402(262) 456-0880 DAN/MARIA RODRIGUEZCounty: RACINE
TRUE LIFE HOMES LLC
2035 LATHROP AVERACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 456-2173DAN/MARIA RODRIGUEZ
5,000/6,100M/F - 4
DEVELOPMENTALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 09/25/2008
TRUE LIFE HOMES LLC (0012442)
09/30/2018License Renewal Fee Due*:
2428 JEAN AVERACINE WI 53404(262) 456-0880 MARIA D RODRIGUEZCounty: RACINE
TRUE LIFE HOMES LLC
2035 LATHROP AVERACINE WI 53405
Type: Class:
Low/High rate:
AFH(262) 456-0880MARIA D RODRIGUEZ
6,000/24,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'STRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 05/06/2010
TRUE LIFE HOMES LLC V (0013227)
04/30/2020License Renewal Fee Due*:
7925 DANIEL CTRACINE WI 53406(262) 898-1201 SHALANDA BEDFORDCounty: RACINE
VISIONS OF LIFE LLC
PO BOX 085782RACINE WI 53408-5782
Type: Class:
Low/High rate:
AFH(262) 898-1201SHALANDA BEDFORD
2,500/5,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 09/06/2007
VISIONS OF LIFE LLC (0012076)
08/31/2019License Renewal Fee Due*:
3857 LAKEVIEW DRRACINE WI 53403(262) 898-1216 MARNICKA MCMILLIAMCounty: RACINE
VISIONS OF LIFE LLC
P O BOX 085782RACINE WI 53408-5782
Type: Class:
Low/High rate:
AFH(262) 898-1216SHALANDA BEDFORD
3,000/5,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 05/27/2010
VISIONS OF LIFE LLC II (0013258)
04/30/2020License Renewal Fee Due*:
3509 S GREEN BAY ROADRACINE WI 53406(262) 554-9566 SHALANDA BEDFORDCounty: RACINE
VISIONS OF LIFE, LLC
PO BOX 085782RACINE WI 53408
Type: Class:
Low/High rate:
AFH(262) 554-9566SHALANDA BEDFORD
3,000/6,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 12/10/2013
VISIONS OF LIFE LLC III (0014876)
11/30/2019License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 27
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
6545 LINCOLNSHIRE DRRACINE WI 53403(262) 552-2955 SHALANDA BEDFORDCounty: RACINE
VISIONS OF LIFE LLC
PO BOX 085782RACINE WI 53408
Type: Class:
Low/High rate:
AFH(262) 554-9566SHALANDA BEDFORD
3,000/6,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTCORRECTIONAL CLIENTSDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 10/03/2013
VISIONS OF LIFE LLC IV (0014770)
09/30/2019License Renewal Fee Due*:
2820 INDIANA STREETRACINE WI 53405(262) 721-6683 LORRAINE WILLIAMSCounty: RACINE
VISTA VILLAGE LIVING CENTER LLC
3806 LAKEVIEW DRIVEMT PLEASANT WI 53403
Type: Class:
Low/High rate:
AFH(262) 210-6960LORRAINE WILLIAMS
3,500/15,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 04/17/2017
VISTA VILLAGE LIVING CENTER II (0016602)
04/30/2019License Renewal Fee Due*:
1711 MONROE AVERACINE WI 53405(262) 210-6960 LORRAINE WILLIAMSCounty: RACINE
VISTA VILLAGE LIVING CENTER LLC
3806 LAKEVIEW DRMT PLEASANT WI 53403
Type: Class:
Low/High rate:
AFH(262) 210-6960LORRAINE WILLIAMS
3,500/15,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 03/22/2016
VISTA VILLAGE LIVING CENTER III LLC (0015959)
03/31/2020License Renewal Fee Due*:
2705 HAYESRACINE WI 53405(262) 456-0764 LORRAINE WILLIAMSCounty: RACINE
VISTA VILLAGE LIVING CENTER LLC
3806 LAKEVIEW DRIVEMT PLEASANT WI 53403
Type: Class:
Low/High rate:
AFH(262) 210-6960LORRAINE WILLIAMS
3,500/15,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 04/17/2017
VISTA VILLAGE LIVING CENTER IV (0016603)
04/30/2019License Renewal Fee Due*:
2040 FRANKLIN STRACINE WI 53403(262) 210-6960 LORRAINE WILLIAMSCounty: RACINE
VISTA VILLAGE LIVING CENTER LLC
3806 LAKEVIEW DRMT PLEASANT WI 53403
Type: Class:
Low/High rate:
AFH(262) 210-6960LORRAINE WILLIAMS
3,500/15,000M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 10/15/2012
VISTA VILLAGE LIVING CENTER LLC (0014302)
09/30/2018License Renewal Fee Due*:
601 SYDNEY DRIVERACINE WI 53402(262) 456-7873 PERE A. EPPSCounty: RACINE
WILLIAMS COMPASSIONATE CARE MANOR, LLC
601 SYDNEY DRIVERACINE WI 53402
Type: Class:
Low/High rate:
AFH(262) 456-7873ROBERT G. WILLIAMS
4,500/8,000M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPUBLIC FUNDINGTERMINALLY ILL
Gender - Capacity:
Initial License: 09/04/2014
WILLIAMS COMPASSIONATE CARE MANOR LLC (0014871)
08/31/2018License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 28
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
3400 SPRUCE STRACINE WI 53405(262) 391-2706 SURENDRAN SIVANANTHANCounty: RACINE
WISCONSIN LIVING LLC (THE)
1630 STARBRIDGE DRBROOKFIELD WI 53005
Type: Class:
Low/High rate:
AFH(262) 391-2706SUREN SIVA
4,000/6,500M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 02/20/2018
WISCONSIN LIVING LLC (THE) (0016796)
02/29/2020License Renewal Fee Due*:
29312 WASHINGTON AVEROCHESTER WI 53167(262) 534-3355 SUE KWASIGROCHCounty: RACINE
SUE KWASIGROCH
PO BOX 661ROCHESTER WI 53167
Type: Class:
Low/High rate:
AFH(262) 534-3355SUE KWASIGROCH
1,500/7,000M - 4
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 08/01/2001
KWASIGROCH FAMILY CARE HOME (0009255)
07/31/2019License Renewal Fee Due*:
8917 CITADEL TERRACESTURTEVANT WI 53177(262) 886-3328 DAVID DUFFECKCounty: RACINE
ALPHA HOMES OF WISCONSIN INC
6216 WASHINGTON AVE SUITE DRACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 886-3328DAVID DUFFECK
5,910/7,710M/F - 4
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 11/20/2008
ALPHA HOMES OF WISCONSIN XIX (0012193)
11/30/2018License Renewal Fee Due*:
3657 MERLIN CTSTURTEVANT WI 53177(262) 886-3328 DAVID DUFFECKCounty: RACINE
ALPHA HOMES OF WISCONSIN INC
6216 WASHINGTON AVE SUITE DRACINE WI 53406
Type: Class:
Low/High rate:
AFH(262) 886-3328DAVID DUFFECK
5,700/5,700M/F - 4
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 05/26/2005
ALPHA HOMES OF WISCONSIN XVII (0010747)
05/31/2019License Renewal Fee Due*:
3516 S KENNEDY DRSTURTEVANT WI 53177(262) 583-2113 CHINYERE UCHEGBUCounty: RACINE
CELESTIAL TOUCH HOME HEALTH CARE LLC
3516 S KENNEDY DRSTURTEVANT WI 53177
Type: Class:
Low/High rate:
AFH(262) 705-3602CHINYERE UCHEGBU
4,250/6,250M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDTERMINALLY ILL
Gender - Capacity:
Initial License: 01/25/2018
CELESTIAL TOUCH HOME HEALTH CARE LLC (0016993)
01/31/2020License Renewal Fee Due*:
9430 JASMINE CTSTURTEVANT WI 53177(414) 519-8588 LYNETTE DUKQUITSCounty: RACINE
OPEN ARMS 20 LLC
5335 TAYLOR AVEMOUNT PLEASANT WI 53403
Type: Class:
Low/High rate:
AFH(414) 519-8588BASHAR QEDAN
6,975M/F - 4
ADVANCED AGEDPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 08/03/2017
OPEN ARMS 20 LLC (0016807)
07/31/2019License Renewal Fee Due*:
3648 91ST PLACESTURTEVANT WI 53177(414) 519-8588 LYNETTE DUKQUITSCounty: RACINE
OPEN ARMS 20 LLC
5335 TAYLOR AVEMOUNT PLEASANT WI 53403
Type: Class:
Low/High rate:
AFH(414) 519-8588BASHAR QEDAN
6,975M/F - 4
ADVANCED AGEDPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 08/03/2017
OPEN ARMS 20 LLC (0016806)
07/31/2019License Renewal Fee Due*:
3708 91ST PLACESTURTEVANT WI 53177(414) 519-2588 LYNETTE DUKQUITSCounty: RACINE
OPEN ARMS 20 LLC
5335 TAYLOR AVEMOUNT PLEASANT WI 53403
Type: Class:
Low/High rate:
AFH(414) 915-8588BASHAR QEDAN
6,975M/F - 4
ADVANCED AGEDPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 08/03/2017
OPEN ARMS 20 LLC (0016805)
07/31/2019License Renewal Fee Due*:
2015 90TH STREETSTURTEVANT WI 53177(262) 598-4562 LUCY BURGESSCounty: RACINE
PRICELESS TIME ADULT FAMILY HOME LLC
1821 BLAKERACINE WI 53404
Type: Class:
Low/High rate:
AFH(262) 598-4662LUCY BURGESS
5,589/17,050M/F - 3
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 03/16/2016
PRICELESS TIME ADULT FAMILY HOME II (0015969)
03/31/2020License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 29
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
3133 BUCKINGHAM RDSTURTEVANT WI 53177(262) 497-5610 TOM HOLBUSCounty: RACINE
SERENITY CARE LLC
3133 BUCKINGHAM RDSTURTEVANT WI 53177
Type: Class:
Low/High rate:
AFH(262) 497-5610TOM HOLBUS
3,376/3,224M/F - 4
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 04/23/2007
SERENITY CARE LLC (0011803)
04/30/2019License Renewal Fee Due*:
6111 E WIND LAKE RDUNION GROVE WI 53182(262) 895-0113 LYNN KARLESKYCounty: RACINE
CARE AND COMFORT ADULT FAMILY HOME LLC
6111 E WIND LAKE RDUNION GROVE WI 53182
Type: Class:
Low/High rate:
AFH(847) 344-9901LYNN KARLESKY
6,080/7,130M/F - 4
ADVANCED AGEDALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 12/13/2016
CARE AND COMFORT 2 ADULT FAMILY HOME (0016290)
11/30/2018License Renewal Fee Due*:
6109 E WIND LAKE ROADUNION GROVE WI 53182(262) 895-0152 LYNN KARLESKYCounty: RACINE
CARE AND COMFORT ADULT FAMILY HOME LLC
6109 E WIND LAKE ROADUNION GROVE WI 53182
Type: Class:
Low/High rate:
AFH(847) 344-9901LYNN KARLESKY
6,080/6,080M/F - 4
ALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLEDPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 05/13/2014
CARE AND COMFORT ADULT FAMILY HOME LLC (0015063)
04/30/2020License Renewal Fee Due*:
1344 JEAN STUNION GROVE WI 53182(262) 864-4283 PENNY ADOLPHCounty: RACINE
JAMES CARES LLC
1014 VINE STUNION GROVE WI 53182
Type: Class:
Low/High rate:
AFH(262) 939-3443DUSTIN SVENDSEN
3,700/5,700M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 05/10/2018
JEAN MANOR (0017128)
04/30/2020License Renewal Fee Due*:
18328 SPRING STUNION GROVE WI 53182(262) 878-3138 MARILYN A MARTINCounty: RACINE
MARILYN A MARTIN
18328 SPRING STUNION GROVE WI 53182
Type: Class:
Low/High rate:
AFH(262) 878-3138MARILYN A MARTIN
3,875/4,650M/F - 4
DEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDPUBLIC FUNDING
Gender - Capacity:
Initial License: 08/01/1998
MARTIN FAMILY CARE HOME (390199)
07/31/2018License Renewal Fee Due*:
16805 WASHINGTON AVEUNION GROVE WI 53182(262) 534-3467 GERALD & BONNIE REINEKECounty: RACINE
REINEKE CARE HOME LLC
2940 MEALY RDWATERFORD WI 53185
Type: Class:
Low/High rate:
AFH(262) 534-3467GERALD & BONNIE REINEKE
2,000/4,400M - 4
DEVELOPMENTALLY DISABLED
Gender - Capacity:
Initial License: 06/30/2006
REINEKE CARE HOMES (0011532)
06/30/2020License Renewal Fee Due*:
106 S 3RD STREETWATERFORD WI 53185(262) 342-6928 ADRIANE NELSONCounty: RACINE
ANA LIVING LLC
3508 PENINSULA DRIVEBURLINGTON WI 53105
Type: Class:
Low/High rate:
AFH(262) 342-6928ADRIANE NELSON
4,200/5,500M/F - 4
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPHYSICALLY DISABLED
Gender - Capacity:
Initial License: 07/27/2017
ELIZABETH III (0016724)
07/31/2019License Renewal Fee Due*:
4525 GUNDERSON RDWATERFORD WI 53185(262) 895-6666 MELINDA DOLPHINCounty: RACINE
PERSONALLY YOURS ELDER CARE LLC
4525 GUNDERSON ROADWATERFORD WI 53185
Type: Class:
Low/High rate:
AFH(262) 895-6666MELINDA DOLPHIN
5,000/7,000M/F - 4
ADVANCED AGEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILL
Gender - Capacity:
Initial License: 09/04/1998
PERSONALLY YOURS ELDER CARE (390231)
09/30/2018License Renewal Fee Due*:
4525 GUNDERSON ROADWATERFORD WI 53185(262) 895-6666 MELINDA DOLPHINCounty: RACINE
PERSONALLY YOURS ELDER CARE A
4525 GUNDERSON ROADWATERFORD WI 53185
Type: Class:
Low/High rate:
AFH(414) 750-4062MELINDA DOLPHIN
5,500/7,000M/F - 4
ADVANCED AGEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILL
Gender - Capacity:
Initial License: 03/26/2013
PERSONALLY YOURS ELDER CARE A (0014523)
03/31/2019License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.
Division of Quality AssuranceWisconsin Department of Health Services Page 30
06/25/2018Directory U d t d
Facility Name and Address Licensee Name and PhoneMailing Address
By County, City
Phone Number / Contact Person
Public Directory
Specialty Programs
For Adult Family Home Facilities
4525 GUNDERSON RDWATERFORD WI 53185(262) 895-6666 MELINDA J DOLPHINCounty: RACINE
PERSONALLY YOURS ELDER CARE B
4525 GUNDERSON ROADWATERFORD WI 53185
Type: Class:
Low/High rate:
AFH(414) 750-4062MELINDA J DOLPHIN
5,000/7,000M/F - 4
ADVANCED AGEDEMOTIONALLY DISTURBED/MENTALILLNESSIRREVERSIBLE DEMENTIA/ALZHEIMER'SPHYSICALLY DISABLEDTERMINALLY ILL
Gender - Capacity:
Initial License: 04/09/2009
PERSONALLY YOURS ELDER CARE B (0012750)
04/30/2019License Renewal Fee Due*:
6831 BIG BEND RDWATERFORD WI 53185(262) 895-6430 SUSAN RAUSCHCounty: RACINE
SUSAN RAUSCH
PO BOX 322WATERFORD WI 53185
Type: Class:
Low/High rate:
AFH(262) 895-6430SUSAN RAUSCH
2,858/3,561M - 3
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDING
Gender - Capacity:
Initial License: 04/30/2009
RAUSCH FAMILY CARE HOME (0012794)
04/30/2019License Renewal Fee Due*:
2940 MEALY RDWATERFORD WI 53185(262) 534-3467 BONNIE REINEKECounty: RACINE
GERALD & BONNIE REINEKE
2940 MEALY RDWATERFORD WI 53185
Type: Class:
Low/High rate:
AFH(262) 534-3467BONNIE REINEKE
1,300/4,500 - 4
DEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 12/16/2003
REINEKE HOME (0010455)
12/31/2020License Renewal Fee Due*:
26516 NORDIC RIDGE DRWIND LAKE WI 53185(262) 895-6691 PAULA HEYERCounty: RACINE
AFFINITY HEALTH CARE LLC
8208 RACINE AVEWIND LAKE WI 53185
Type: Class:
Low/High rate:
AFH(262) 895-3052THOMAS R SCHILLING
4,500/6,500M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALILLNESSPUBLIC FUNDINGTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 05/26/2009
EAGLES LANDING (0012634)
05/31/2019License Renewal Fee Due*:
314 JONSUE LANEWIND POINT WI 53402(414) 554-8280 NICOLE PFEIFERCounty: RACINE
314 JONSUE LANEWIND POINT WI 53402
Type: Class:
Low/High rate:
AFH(414) 554-8280NICOLE PFEIFER
130/400M/F - 4
ADVANCED AGEDDEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURY
Gender - Capacity:
Initial License: 02/04/2014
WIND POINT VILLA ADULT FAMILY HOME (0014859)
01/31/2020License Renewal Fee Due*:
*The Adult Family Homey (AFH) directory is updated monthly. It is possible that a facility's license renewal fee due date may appear to have passed since the directory was last updated, when in fact that facility's required fee has been paid and its license has been renewed without this being reflected on the directory.