FOX RIVER ASSISTED LIVING & MEMORY CARE, LLC (NPI# 1467674507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467674507 |
| Entity Type | Organization |
| Organization Name | FOX RIVER ASSISTED LIVING & MEMORY CARE, LLC |
| Other Organization Name | FOX RIVER |
| Practice Address |
5800 Pennsylvania Ave Appleton WI 54914 |
| Mailing Address |
3723 Fairview Industrial Dr Se Suite 270 Salem OR 97302 |
| Practice Telephone | 9209970725 |
| Mailing Telephone | 5034854600 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JON HARDER (MANAGER) |
| Authorized Official Telephone | 5034854600 |
| 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 |
|---|---|
| Fox River | Doing Business As Name - Organization |
| Street Address |
5800 PENNSYLVANIA AVE |
| City | APPLETON |
| State | WI |
| Zip Code | 54914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346658473 | S-h Opco Fox River, LLC | Assisted Living Facility | 5800 Pennsylvania Ave, Appleton, WI 54914-7563 | 2014-08-01 |
| 1275817306 | Emeritus Corporation | Assisted Living Facility | 5800 Pennsylvania Ave, Appleton, WI 54914-7557 | 2011-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| Find all providers in zip 54914 | ||||
| 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 |
|---|---|---|---|---|
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1427387661 | Province Terrace Villas Long Ct. LLC | Assisted Living Facility | 5216 Long Court, Appleton, WI 54914 | 2009-12-17 |
| 1619182672 | Emerald Valley Assisted Living, LLC | Assisted Living Facility | 200 W Valley Rd, Appleton, WI 54915-6263 | 2007-05-13 |
| 1346658473 | S-h Opco Fox River, LLC | Assisted Living Facility | 5800 Pennsylvania Ave, Appleton, WI 54914-7563 | 2014-08-01 |
| 1063764942 | Rennes Assisted Living Corp. | Assisted Living Facility | 301 E Florida Ave, Appleton, WI 54911-1325 | 2012-10-03 |
| 1275817306 | Emeritus Corporation | Assisted Living Facility | 5800 Pennsylvania Ave, Appleton, WI 54914-7557 | 2011-10-07 |
| 1417271628 | Carrington Manor Assisted Living of Green Bay, LLC | Assisted Living Facility | W3124 Van Roy Rd, Appleton, WI 54915-3982 | 2010-03-16 |
| 1538490438 | Carolina Manor Assisted Living of Appleton, LLC | Assisted Living Facility | W3124 Van Roy Rd, Appleton, WI 54915-3982 | 2010-01-18 |
| 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 | ||||
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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.