WILLOW WINDS LIVING, LLC (NPI# 1558668905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558668905 |
| Entity Type | Organization |
| Organization Name | WILLOW WINDS LIVING, LLC |
| Other Organization Name | SUPERIOR PLUMBING AND WATER, LLC |
| Practice Address |
N372 Twinkling Star Rd Whitewater WI 53190-2827 |
| Mailing Address |
W7704 R and W Townline Rd Whitewater WI 53190-4312 |
| Practice Telephone | 6085751103 |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-02-22 |
| Authorized Official Name | MICHAELA KLINE (MANAGER) |
| Authorized Official Telephone | 6085751103 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
0013560 | WI | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | 0013560 | WI | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Superior Plumbing and Water, LLC | Former Legal Business Name - Organization |
| Street Address |
N372 TWINKLING STAR RD |
| City | WHITEWATER |
| State | WI |
| Zip Code | 53190-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962908608 | Shannon Bashor | Specialist/Technologist | 907 W Schwager Dr, Whitewater, WI 53190 | 2018-04-02 |
| 1922542695 | Terry Teipner | Counselor | 1173 W Main St Ste B, Whitewater, WI 53190 | 2016-12-14 |
| 1063800100 | Courtney Stefanski | Specialist/Technologist | 900 Schwager Drive, Whitewater, WI 53190 | 2014-12-23 |
| 1275942989 | Courtney Palubicki | Specialist/Technologist | 907 W. Schwager Drive, Whitewater, WI 53190 | 2014-08-06 |
| 1548491087 | Ann Marie Welch | Registered Nurse | 9640 N. County Line Rd, Whitewater, WI 53190 | 2009-07-31 |
| 1780801423 | Marsha Lee Mckinnon | Registered Nurse | 710 Starin Road, Whitewater, WI 53190 | 2007-04-20 |
| 1164599387 | Michael J Kellum | Emergency Medicine | W9575 Homburg Lane, Whitewater, WI 53190 | 2006-11-30 |
| 1861596371 | Brian William Veale | Chiropractor | 543 S Putnam St, Whitewater, WI 53190 | 2006-09-13 |
| 1629508908 | Erin Kae Clark | Specialist/Technologist | 800 W Main St, Williams Center 105g, Whitewater, WI 53190 | 2017-06-19 |
| 1952854150 | Rebecca K Hamman | Nurse Practitioner | 710 W Starin Rd, Whitewater, WI 53190 | 2016-07-25 |
| Find all providers in zip 53190 | ||||
| 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 |
|---|---|---|---|---|
| 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 | WHITEWATER |
| Zip Code | 53190 |
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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.