Organization
THE NEW TESTAMENT ADULT GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TATYANA JAMISON (OWNER)
(414) 455-0561
Entity
Organization
Contact information
Practice address
3414 W STATE ST, MILWAUKEE, WI 53208-3357
(414) 801-7115
Mailing address
3414 W STATE ST, MILWAUKEE, WI 53208-3357
(414) 801-7115
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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