LAKESIDE TRINITY CARE AND WELLNESS LLC NPI 1093671703

NPI Information

  • NPI: 1093671703
  • Provider Name: LAKESIDE TRINITY CARE AND WELLNESS LLC
  • Classification: Case Management - 251B00000X
  • Entity Type: Organization
  • Address: 23926 4TH AVE
    SIREN, WI
    ZIP 54872
  • Phone: (715) 791-4222

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NPI Details

LAKESIDE TRINITY CARE AND WELLNESS LLC is a case management in Siren, WI. The provider is an organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. LAKESIDE TRINITY CARE AND WELLNESS LLC NPI is 1093671703. The provider is registered as an organization entity type.

The provider's business location address is:

23926 4TH AVE
SIREN, WI
ZIP 54872-312
Phone: (715) 791-4222
Fax: (715) 349-5189

The provider's authorized official is Jennifer Lynn Miller .
The authorized official title is Managing Member and has the following contact phone number (715) 791-4222.

The enumeration date for this NPI number is 12/27/2025 and was last updated on 12/27/2025.

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
1251S00000XCommunity/Behavioral HealthNo
2251B00000XCase ManagementYes

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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