PRAITIE ASSISTED LIVING INC. (NPI# 1326654534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326654534 |
| Entity Type | Organization |
| Organization Name | PRAITIE ASSISTED LIVING INC. |
| Practice Address |
749 E Oshkosh St Ripon WI 54971-1258 |
| Practice Telephone | 9207488900 |
| Mailing Telephone | 9207488900 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | JEREMIAH GROTHE (CEO) |
| Authorized Official Telephone | 9207488900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
749 E OSHKOSH ST |
| City | RIPON |
| State | WI |
| Zip Code | 54971-1258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659850113 | Kaitlyn J Smith | Physical Therapist | 402 Eureka St, Ripon, WI 54971 | 2018-08-07 |
| 1336667526 | Cooperleaf Management Group | Assisted Living Facility | 1002 Eureka Street, Ripon, WI 54971 | 2017-09-07 |
| 1750618062 | Midel Incorporated | Assisted Living Facility | 530 North Union St., Ripon, WI 54971 | 2009-11-06 |
| 1073847471 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 790 Eastgate Dr, Ripon, WI 54971 | 2009-10-01 |
| 1598963415 | Joan Frances Nault I | Dentist | 702 E. Fond Du Lac St., Ripon, WI 54971 | 2007-07-03 |
| 1245366145 | Kathleen A Schumacher | Music Therapist | 1881 Rabbit Trail Road, Ripon, WI 54971 | 2007-02-26 |
| 1275680555 | Chris Schattschneider | Specialist/Technologist | 933 Newbury St., Ripon, WI 54971 | 2007-01-05 |
| 1225114010 | Kurt W Piernot | Dentist | 106 Watson St, Ripon, WI 54971 | 2006-10-27 |
| 1154427250 | Sarah Ann Heyn | Social Worker | 723 Chester Court, Ripon, WI 54971 | 2006-09-15 |
| 1023057320 | Joseph Longo | Family Medicine | 1080 W Fond Du Lac St., Chn Medical Center - Ripon, Ripon, WI 54971 | 2006-06-05 |
| Find all providers in zip 54971 | ||||
| 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 |
|---|---|---|---|---|
| 1336667526 | Cooperleaf Management Group | Assisted Living Facility | 1002 Eureka Street, Ripon, WI 54971 | 2017-09-07 |
| 1750618062 | Midel Incorporated | Assisted Living Facility | 530 North Union St., Ripon, WI 54971 | 2009-11-06 |
| 1902131543 | Maplecrest Manor Inc. | Assisted Living Facility | 150 N Douglas St, Ripon, WI 54971-2012 | 2009-10-15 |
| 1205458759 | Pleasant Park Place LLC | Assisted Living Facility | 1450 Pleasant St, Ripon, WI 54971 | 2020-05-07 |
| 1023413838 | Maplecrest Manor Inc. | Assisted Living Facility | 150 N Douglas St, Ripon, WI 54971-2012 | 2014-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1306454483 | River Falls Cbrf, LLC | Assisted Living Facility | 2328 Aurora Cir, River Falls, WI 54022-4885 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
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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.