SENIOR COMMUNITY CENTER MANAGEMENT OF WAUPUN, LLC (NPI# 1588817365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588817365 |
Entity Type | Organization |
Organization Name | SENIOR COMMUNITY CENTER MANAGEMENT OF WAUPUN, LLC |
Other Organization Name | WHISPERING OAKS ASSISTED LIVING |
Practice Address |
450 E Franklin Street Waupun WI 53963 |
Mailing Address |
Po Box 1255 Sun Prairie WI 53590-6255 |
Practice Telephone | 9203249900 |
Practice Fax Number | 9203249901 |
Mailing Telephone | 6083181180 |
Mailing Fax Number | 6083180878 |
Enumeration Date | 2008-10-24 |
Last Update Date | 2008-10-24 |
Authorized Official Name | ROBERT SIMONSON (EXECUTIVE MANAGER/OWNER) |
Authorized Official Telephone | 6083181180 |
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 |
---|---|
Whispering Oaks Assisted Living | Doing Business As Name - Organization |
Street Address |
450 E FRANKLIN STREET |
City | WAUPUN |
State | WI |
Zip Code | 53963 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487195772 | Ryan Schmitt | Specialist/Technologist | 411 Edgewood Drive, Waupun, WI 53963 | 2017-03-20 |
1154727758 | Above and Beyond Care Solutions LLC | In Home Supportive Care | 1013 Church Street, Waupun, WI 53963 | 2014-11-08 |
1629374780 | Beaver Dam Community Hospitals, Inc | Family Medicine | 180 Gateway Dr, Waupun, WI 53963 | 2011-02-07 |
1699904680 | Olson Eye Care LLC | Optometrist | 537 E Main Street, Waupu, WI 53963 | 2009-07-10 |
1013178367 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 999 E Main St, Waupun, WI 53963 | 2008-06-19 |
1568582807 | Todd Richard Callister | Psychiatry & Neurology | 200 South Madison St, Waupun, WI 53963 | 2007-03-30 |
1043352990 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 620 Brown St, Waupun, WI 53963 | 2007-02-13 |
1457312209 | Christian Home and Rehabilitation Center, Inc. | Assisted Living Facility | 331 Bly St, Waupun, WI 53963 | 2006-03-31 |
1477537249 | Brooks Ambulance Inc | Ambulance | 426 E Main St, Waupun, WI 53963 | 2005-12-05 |
1023584992 | Stephanie Lynn Bush | Nurse Practitioner | 160 Gateway Dr, Waupun, WI 53963 | 2018-10-18 |
Find all providers in zip 53963 |
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 |
---|---|---|---|---|
1457312209 | Christian Home and Rehabilitation Center, Inc. | Assisted Living Facility | 331 Bly St, Waupun, WI 53963 | 2006-03-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326654534 | Praitie Assisted Living Inc. | Assisted Living Facility | 749 E Oshkosh St, Ripon, WI 54971-1258 | 2020-09-22 |
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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 |
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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.