# VITAL CARE COMFORT HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891602355
- **Authorized official:** JANAE SIMMONS-TILLMAN RN (OWNER)
- **Authorized official phone:** (414) 477-6955

## Contact information

- **Practice address:** N51W14111 LANCASTER AVE, MENOMONEE FALLS, WI 53051-6914
- **Practice address phone:** (414) 477-6955
- **Practice address fax:** (262) 924-0550
- **Mailing address:** N51W14111 LANCASTER AVE, MENOMONEE FALLS, WI 53051-6914
- **Mailing address fax:** (262) 924-0550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/27/2026
- **Last updated:** 08/27/2026