Directory of Adult Family Homes of Wisconsin

1 Division of Quality AssuranceWisconsin Department of Health ServicesPage108/01/2022 Directory UdtdFacility Name and AddressLicensee Name and PhoneMailing AddressBy County, Facility NamePhone Number / Contact PersonPublic DirectorySpecialty ProgramsFor Facility Type AFH2318 13TH LNFRIENDSHIP WI 53934(608) 339-9421 RITA FOSNOWC ounty: ADAMSFOSNOW Adult Family HOME LLC2318 13TH LNFRIENDSHIP WI 53934 Type: Class: Low/High rate:AFH(608) 339-2946 RITA FOSNOW3,600/10,000M/F - 4 HCBS COMPLIANTADVANCED AGEDDEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDG ender - Capacity:Initial License:01/25/2011 FOSNOW Adult Family HOME II (0013635)2319 13TH LNFRIENDSHIP WI 53934(608) 547-1915 RITA FOSNOWC ounty: ADAMSFOSNOW Adult Family HOME LLC2324 13TH LNFRIENDSHIP WI 53934 Type: Class: Low/High rate:AFH(608) 339-2946 RITA FOSNOW4,000/7,000M/F - 4 HCBS COMPLIANTADVANCED AGEDDEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDG ender - Capacity.

2 Initial License:11/03/2011 FOSNOW Adult Family HOME III (0013911)2324 13TH LNFRIENDSHIP WI 53934(608) 339-2946 RITA FOSNOWC ounty: ADAMSFOSNOW Adult Family HOME LLC2324 13TH LNFRIENDSHIP WI 53934 Type: Class: Low/High rate:AFH(608) 339-2946 RITA FOSNOW3,000/6,000M/F - 4 HCBS COMPLIANTDEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDG ender - Capacity:Initial License:01/10/2011 FOSNOW Adult Family HOME LLC (0013624)100 N MAIN STREETFRIENDSHIP WI 53934(608) 474-0192 SHELLEY SLEEMANC ounty: ADAMSFRIENDSHIP ASSISTED LIVING LLCPO BOX 571 FRIENDSHIP WI 53934 Type: Class: Low/High rate:AFH(608) 474-0192 SHELLEY SLEEMAN2,700/3,700M/F - 4 HCBS COMPLIANTADVANCED AGEDDEVELOPMENTALLY DISABLEDPUBLIC FUNDINGTERMINALLY ILLTRAUMATIC BRAIN INJURYG ender - Capacity:Initial License:11/01/2017 FRIENDSHIP ASSISTED LIVING LLC (0016247)801 NORTH ST PO BOX 21 ADAMS WI 53910(608) 339-9634 FLORA JEAN JOHNSONC ounty: ADAMS801 NORTH ST PO BOX 21 ADAMS WI 53910 Type: Class: Low/High rate.

3 AFH(608) 339-9634 FLORA JEAN JOHNSON1,573/2,294M/F - 4 HCBS COMPLIANTADVANCED AGEDDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALPHYSICALLY DISABLEDG ender - Capacity:Initial License:01/14/2014 RYKIEL'S AFH LLC (0014936)61148 HILLSIDE LNASHLAND WI 54806(715) 682-0438 LORI WRIGHTC ounty: ASHLANDREM Wisconsin INC4033 123RD ST, STE ACHIPPEWA FALLS WI 54729 Type: Class: Low/High rate:AFH(608) 276-1191 LORI WRIGHT8,035/9,207M/F - 4 HCBS COMPLIANTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALIRREVERSIBLE DEMENTIA/ALZHEIMPUBLIC FUNDINGG ender - Capacity:Initial License:03/14/2017 DECLARATION REM Wisconsin III INC (0016590)1610 W 10TH AVEASHLAND WI 54806(715) 292-6333 LORI WRIGHTC ounty: ASHLANDREM Wisconsin INC4033 123RD ST, STE ACHIPPEWA FALLS WI 54729 Type: Class: Low/High rate.

4 AFH(608) 276-1191 LORI WRIGHT8,035/9,083M/F - 4 HCBS COMPLIANTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALIRREVERSIBLE DEMENTIA/ALZHEIMPUBLIC FUNDINGG ender - Capacity:Initial License:03/14/2017 HASANI REM Wisconsin III INC (0016588)717 14TH AVENUE WESTASHLAND WI 54806(715) 292-6337 PATRICIA PIFFC ounty: ASHLANDPIFF Adult Family HOME717 14TH AVENUE WESTASHLAND WI 54806 Type: Class: Low/High rate:AFH(715) 292-6337 PATRICIA PIFF900/5,000M/F - 4 HCBS COMPLIANTALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALPUBLIC FUNDINGTRAUMATIC BRAIN INJURYG ender - Capacity:Initial License:01/30/2020 PIFF Adult Family HOME (0017871)2917 7TH STREETBARRONETT WI 54813(715) 822-8385 LYNN THONC ounty: BARRONOAK VIEW Adult Family HOME CORPPO BOX 44 BARRONETT WI 54813 Type: Class: Low/High rate.

5 AFH(715) 822-8385 JUDITH PIEPER7,300/14,400M/F - 4 HCBS COMPLIANTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALIRREVERSIBLE DEMENTIA/ALZHEIMPHYSICALLY DISABLEDTRAUMATIC BRAIN INJURYG ender - Capacity:Initial License:08/21/2020 ACORN COTTAGE (0018050)1515 LLOYD STCUMBERLAND WI 54829(715) 296-9127 LAVERN WENGERC ounty: BARRONAUTUMN LEAVES ASSISTED LIVING ESTATES IN1945 6 1/2 STCUMBERLAND WI 54829 Type: Class: Low/High rate:AFH(715) 296-9127 LAVERN WENGER3,500/5,500M/F - 4 HCBS COMPLIANTADVANCED AGEDDEVELOPMENTALLY DISABLEDIRREVERSIBLE DEMENTIA/ALZHEIMPHYSICALLY DISABLEDPUBLIC FUNDINGG ender - Capacity:Initial License:05/24/2017 AUTUMN LEAVES ASSISTED LIVING ESTATES (0016571)*The Adult Family Home (AFH) Directory is updated monthly.

6 Division of Quality AssuranceWisconsin Department of Health ServicesPage208/01/2022 Directory UdtdFacility Name and AddressLicensee Name and PhoneMailing AddressBy County, Facility NamePhone Number / Contact PersonPublic DirectorySpecialty ProgramsFor Facility Type AFH510 E BARKERRICE LAKE WI 54868 JASON JASICKIC ounty: BARRONCCC HOMES1909 22 1/2 STRICE LAKE WI 54868 Type: Class: Low/High rate:AFH(715) 790-7800 CINDY JASICKI3,000/10,000M/F - 4 HCBS COMPLIANTDEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDPUBLIC FUNDINGG ender - Capacity:Initial License:05/17/2016 CCC Homes BARKER HOUSE (0016133)730 KERN AVENUERICE LAKE WI 54868(715) 475-1081 CINDY JASICKIC ounty: BARRONCCC HOMES1909 22 1/2 STREETRICE LAKE WI 54868 Type: Class: Low/High rate:AFH(715) 790-7800 CINDY JASICKI3,000/10,000M/F - 4 HCBS COMPLIANTDEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDPUBLIC FUNDINGG ender - Capacity.

7 Initial License:08/15/2015 CCC Homes KERN HOUSE (0015807)831 NELSON DRIVERICE LAKE WI 54868(715) 790-7800 JASON JASICKIC ounty: BARRONCCC HOMES1909 22 1/2 STREETRICE LAKE WI 54868 Type: Class: Low/High rate:AFH(715) 790-7800 CINDY JASICKI4,000/9,800M/F - 4 HCBS COMPLIANTDEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDPUBLIC FUNDINGG ender - Capacity:Initial License:04/01/2015 CCC Homes LTD NELSON HOME (0015556)686 Oak StBarron WI 54812-1801(715) 820-0383 Stephen BantCounty: BARRONC hrismark Home LLC1627 Kern AveRice Lake WI 54868 Type: Class: Low/High rate:AFH(715) 820-0383 Stephen Bant3,000/9,500M/F - 4 HCBS COMPLIANTALCOHOL/DRUG DEPENDENTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALTRAUMATIC BRAIN INJURYG ender - Capacity:Initial License:07/14/2022 Chrismark Home Oak Street (0019013)180 WAYNE ST EASTPRAIRIE FARM WI 54762(715) 455-1883 DIANA WIESNERC ounty: BARRONCIRCLE OF HOPE INCN364 EAU CLAIRE AVENEW AUBURN WI 54757 Type: Class: Low/High rate.

8 AFH(715) 418-9217 DIANA WIESNER3,000/6,000F - 4 HCBS COMPLIANTDEVELOPMENTALLY DISABLEDPUBLIC FUNDINGG ender - Capacity:Initial License:07/01/1992 CIRCLE OF HOPE INC (590093)706 CARSON STREETRICE LAKE WI 54868(715) 296-5415 JEFFREY L BEYREISC ounty: BARRONJB SIGNATURE Homes LLC2386 23 1/2 AVERICE LAKE WI 54868 Type: Class: Low/High rate:AFH(715) 296-5415 JEFFREY BEYREIS18,858/43,513M/F - 4 HCBS COMPLIANTDEVELOPMENTALLY DISABLEDEMOTIONALLY DISTURBED/MENTALIRREVERSIBLE DEMENTIA/ALZHEIMPUBLIC FUNDINGTRAUMATIC BRAIN INJURYG ender - Capacity:Initial License:01/31/2018JB SIGNATURE Homes LLC (0016803)1117 W STOUT STREETCHETEK WI 54728(715) 924-3632 SONIA OR TED KOTZC ounty: BARRON1117 W STOUT STREETCHETEK WI 54728 Type: Class: Low/High rate.

9 AFH(715) 924-3632 SONIA & TED KOTZ3,000/7,000M/F - 4 HCBS COMPLIANTADVANCED AGEDIRREVERSIBLE DEMENTIA/ALZHEIMG ender - Capacity:Initial License:09/09/1998 JUST LIKE HOME (590167)2630 8 1/4 AVENUECHETEK WI 54728(715) 924-3332 MELISSA LEWALLENC ounty: BARRON2630 8 1/4 AVENUECHETEK WI 54728 Type: Class: Low/High rate:AFH(715) 924-3332 MELISSA LEWALLEN2,000/4,800M/F - 4 HCBS COMPLIANTADVANCED AGEDDEVELOPMENTALLY DISABLEDPHYSICALLY DISABLEDG ender - Capacity:Initial License:07/15/2013 LEWALLEN Adult Family HOME (0014623)103 HILLTOP DRRICE LAKE WI 54868(715) 205-8091 STEPHEN MITCHELLC ounty: BARRON103 HILLTOP DRRICE