GOLDEN OAK CREST LLC NPI 1083872451

NPI Information

  • NPI: 1083872451
  • Provider Name: GOLDEN OAK CREST LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: COUNTRY VIEW
  • CLIA Number: 52D1013946
  • Address: 10507 S CHICAGO RD
    OAK CREEK, WI
    ZIP 53154
  • Phone: (414) 764-3303

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NPI Details

GOLDEN OAK CREST LLC is an assisted living facility in Oak Creek, 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. GOLDEN OAK CREST LLC NPI is 1083872451. The provider is registered as an organization entity type.
The provider Is Doing Business As Country View.

The provider's business location address is:

10507 S CHICAGO RD
OAK CREEK, WI
ZIP 53154-605
Phone: (414) 764-3303
Fax: (414) 764-8156

The provider's authorized official is John Teresinski .
The authorized official title is Managing Director and has the following contact phone number (414) 940-6608.

The CLIA number assigned to this NPI record is 52D1013946 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2008 and was last updated on 4/22/2020.

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 FacilityWISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10011567OTHERWISCONSINWISCONSIN DHS

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: 11/21/2025

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