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STOUGHTON MEADOWS ASSISTED LIVING FACILITY NPI 1811590557


NPI Information

NPI: 1811590557
Provider Name: STOUGHTON MEADOWS ASSISTED LIVING FACILITY
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 52D1105742

Address:
2321 JACKSON ST
STOUGHTON, WI
ZIP 53589
Phone: (608) 877-1227
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STOUGHTON MEADOWS ASSISTED LIVING FACILITY is an assisted living facility in Stoughton, WI. The provider is 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. STOUGHTON MEADOWS ASSISTED LIVING FACILITY NPI is 1811590557. The provider is registered as an organization entity type.

The provider's business location address is:

2321 JACKSON ST
STOUGHTON, WI
ZIP 53589-405
Phone: (608) 877-1227
Fax: (608) 877-1241

The provider's authorized official is Harley Jean Paulsen .
The authorized official title is Wellness Director and has the following contact phone number (608) 877-1227.

The CLIA number assigned to this NPI record is 52D1105742 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2020 and was last updated on 11/17/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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