RACINE SENIOR LIVING, INC. (NPI# 1194109256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194109256 |
| Entity Type | Organization |
| Organization Name | RACINE SENIOR LIVING, INC. |
| Other Organization Name | PLEASANT POINT SENIOR LIVING |
| Practice Address |
8600 Corporate Dr Mount Pleasant WI 53406-3777 |
| Practice Telephone | 2628330810 |
| Practice Fax Number | 2628330028 |
| Mailing Telephone | 2628330810 |
| Mailing Fax Number | 2628330028 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | LEE JOHNSON (TREASURER) |
| Authorized Official Telephone | 2084011369 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Pleasant Point Senior Living | Doing Business As Name - Organization |
| Racine Commons Assisted Living CBRF | Doing Business As Name - Organization |
| Street Address |
8600 CORPORATE DR |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53406-3777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073923587 | Stacy Strickland | Physical Therapy Assistant | 8600 Corporate Dr, Mount Pleasant, WI 53406-3777 | 2014-05-06 |
| 1558729269 | Carla Correa | Occupational Therapist | 8600 Corporate Dr, Mount Pleasant, WI 53406-3777 | 2016-02-09 |
| 1427467877 | Melissa Marie Pust | Occupational Therapist | 8600 Corporate Dr, Mount Pleasant, WI 53406-3777 | 2014-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280455 | Sandpiper Independent & Assisted Living, LLC | Assisted Living Facility | 1047 Anna Knapp Blvd, Mount Pleasant, SC 29464-3146 | 2020-09-17 |
| 1962011262 | Heartland Health Management, Inc. | Assisted Living Facility | 126 W Stonebrook Dr, Mount Pleasant, IA 52641-2686 | 2020-07-23 |
| 1164633285 | Susans Victorian Cottage | Assisted Living Facility | 111 Hydrangea Lane, Mount Pleasant, PA 15666-3648 | 2007-05-24 |
| 1881627065 | Heartland Health Management, Inc. | Assisted Living Facility | 701 E Mapleleaf Dr, Mount Pleasant, IA 52641-1402 | 2006-07-09 |
| 1306215140 | Palmetto Therapeutic Medicine LLC | Assisted Living Facility | 1204 Palmetto Peninsula Dr, Mount Pleasant, SC 29464-7452 | 2015-09-23 |
| 1033451752 | Mount Pleasant Senior Living, LLC | Assisted Living Facility | 1714 N Edwards Ave, Mount Pleasant, TX 75455-2028 | 2013-03-20 |
| 1669744413 | Snh Se Sg Tenant LLC | Assisted Living Facility | 1010 Lake Hunter Circle, Mount Pleasant, SC 29464-5417 | 2012-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654534 | Praitie Assisted Living Inc. | Assisted Living Facility | 749 E Oshkosh St, Ripon, WI 54971-1258 | 2020-09-22 |
| 1295340016 | St. Elizabeth Manor, Inc. | Assisted Living Facility | 111 Commercial Dr, Footville, WI 53537 | 2020-09-09 |
| 1730793001 | Zinzendorf Hall, Inc. | Assisted Living Facility | 1047 Hill St, Watertown, WI 53098-3015 | 2020-09-03 |
| 1184236044 | Francine Carter | Assisted Living Facility | 4341 N 19th St, Milwaukee, WI 53209-6831 | 2020-08-20 |
| 1598377905 | Nohc Jackson Senior Living LLC | Assisted Living Facility | N16744 Eagle Drive, Jackson, WI 53037 | 2020-08-18 |
| 1003427766 | Nohc Magnolia Meadows LLC | Assisted Living Facility | 1480 N 7th St, Manitowoc, WI 54220-2012 | 2020-08-14 |
| 1922616580 | Rheuvonia Reed | Assisted Living Facility | 543 E Arbor Cir, Oak Creek, WI 53154-8528 | 2020-07-20 |
| 1912515073 | Baldwin Coh, LLC | Assisted Living Facility | 1880 4th Ave, Baldwin, WI 54002-5134 | 2020-07-15 |
| 1427666593 | Hudson Coh II, LLC | Assisted Living Facility | 805 Heggen St, Hudson, WI 54016-5005 | 2020-07-15 |
| 1366050429 | Hudson Coh, LLC | Assisted Living Facility | 1111 Heggen St, Hudson, WI 54016-9222 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53406 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.