SENIOR COMMUNITY CENTER MANAGEMENT OF WAUPUN, LLC


Address: 450 E Franklin Street, Waupun, WI 53963
Phone: 9203249900

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Whispering Oaks Assisted Living Doing Business As Name - Organization

Office Location

Street Address 450 E FRANKLIN STREET
City WAUPUN
State WI
Zip Code 53963

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457312209 Christian Home and Rehabilitation Center, Inc. Assisted Living Facility 331 Bly St, Waupun, WI 53963 2006-03-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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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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Competitor

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City WAUPUN
Zip Code 53963

Improve Information

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Dataset Information

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.

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