LAKEWOOD ASSISTED LIVING, LLC (NPI# 1235458894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235458894 |
| Entity Type | Organization |
| Organization Name | LAKEWOOD ASSISTED LIVING, LLC |
| Practice Address |
17185 Flynn Ln Lakewood WI 54138-9593 |
| Mailing Address |
W3124 Van Roy Rd Appleton WI 54915-3982 |
| Practice Telephone | 7152761680 |
| Mailing Telephone | 9205743833 |
| Mailing Fax Number | 9205743850 |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-05-21 |
| Authorized Official Name | KATHERINE R TEGEN (MANAGER) |
| Authorized Official Telephone | 9203785839 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | WI | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Lakewood Assisted Living, LLC | 871 Thornton Parkway, 189, Thornton, CO 80229 |
| Street Address |
17185 FLYNN LN |
| City | LAKEWOOD |
| State | WI |
| Zip Code | 54138-9593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174830244 | Adam Robert Habeck | Chiropractor | 15267 State Hwy. 32, Lakewood, WI 54138 | 2010-09-09 |
| 1386708378 | Stacey Lee Bisenius | Dental Hygienist | 15397 State Hwy 32, Lakewood, WI 54138 | 2006-12-21 |
| 1801135371 | Habeck Chiropractic Center, LLC | Chiropractor | 15267 State Hwy. 32, Lakewood, WI 54138 | 2013-02-04 |
| 1407961402 | Leslee A Granke | Registered Nurse | 15397 State Highway 32, Lakewood, WI 54138 | 2006-08-20 |
| 1750376968 | Blake J Edinger | Dentist | 15397 State Highway 32, Lakewood, WI 54138 | 2005-09-14 |
| 1023338506 | Orthopedic & Spine Therapy of Lakewood, Sc | Physical Therapist | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2010-06-07 |
| 1790162899 | Assure Family Practice LLC | Clinic/Center | 17187 Twin Pines Rd, Suite A, Lakewood, WI 54138-9300 | 2015-04-28 |
| 1265841944 | Sara Piontek | Massage Therapist | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2014-08-07 |
| 1588975908 | Orthopedic & Spine Therapy of Lakewood, Sc | Durable Medical Equipment & Medical Supplies | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2010-06-30 |
| 1740272848 | Jason William Nobles | Chiropractor | 15481 Commercial Rd, Ste G, Lakewood, WI 54138-9677 | 2005-08-16 |
| Find all providers in zip 54138 | ||||
| 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 |
|---|---|---|---|---|
| 1881294825 | Tcal2 | Assisted Living Facility | 1069 S Teller St, Lakewood, CO 80226-4554 | 2020-10-29 |
| 1336749373 | Tcal2 | Assisted Living Facility | 6419 W Mexico Ave, Lakewood, CO 80232-7055 | 2020-10-29 |
| 1891338083 | The Rising Sun Senior Home At Belmar Inc. | Assisted Living Facility | 835 S. Flower St, Lakewood, CO 80226 | 2019-10-21 |
| 1972076958 | Deshano Care Centers LLC | Assisted Living Facility | 9232 W Texas Dr, Lakewood, CO 80232-5100 | 2019-01-02 |
| 1740762061 | Deshano Care Centers LLC | Assisted Living Facility | 1975 Owens Ct, Lakewood, CO 80215-2732 | 2018-09-04 |
| 1932681335 | Deshano Care Centers LLC | Assisted Living Facility | 3225 S Reed Ct, Lakewood, CO 80227-5216 | 2018-08-31 |
| 1619425881 | The Rising Sun Senior Home Inc. | Assisted Living Facility | 421 S Fenton St, Lakewood, CO 80226-3556 | 2016-09-16 |
| 1134592108 | Peris Mungai | Assisted Living Facility | 11922 Nyanza Rd Sw, Lakewood, WA 98499-1438 | 2015-11-12 |
| 1457736399 | Senior Housing Investors II, LLC | Assisted Living Facility | 10420 Gravelly Lake Dr Sw, Lakewood, WA 98499-5041 | 2015-07-21 |
| 1447634266 | Fs Leisure Park Tenant Trust | Assisted Living Facility | 1400 Route 70, Lakewood, NJ 08701-5949 | 2015-07-10 |
| Find all providers in LAKEWOOD | ||||
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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.