Individual provider · Type 1 NPI
Tashante Luckett
Adult Care Home Facility · Franklin, WI
NPI number
1205703089
Active
Practice location
9307 S 27th St
Franklin, WI 53132-9162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
| Respite Care | 385H00000X | None listed |
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1205703089
Tashante Luckett's National Provider Identifier is 1205703089, issued on Oct 17, 2025. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Franklin, WI. The record was last updated on Oct 17, 2025.