SNH WIS TENANT LLC NPI 1215585955

NPI Information

  • NPI: 1215585955
  • Provider Name: SNH WIS TENANT LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • :
  • Address: 701 E PUETZ RD
    OAK CREEK, WI
    ZIP 53154
  • Phone: (414) 766-2100

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NPI Details

SNH WIS TENANT 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. SNH WIS TENANT LLC NPI is 1215585955. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

701 E PUETZ RD
OAK CREEK, WI
ZIP 53154-257
Phone: (414) 766-2100
Fax: (414) 766-2200

The provider's authorized official is Christopher J. Bolotto .
The authorized official title is President & Chief Executive Officer and has the following contact phone number (617) 796-8387.

The enumeration date for this NPI number is 8/27/2019 and was last updated on 4/2/2025.

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
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: 11/21/2025

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