BEAVER CREEK OPS LLC NPI 1275984049

NPI Information

  • NPI: 1275984049
  • Provider Name: BEAVER CREEK OPS, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: NEW PERSPECTIVE-BEAVER CREEK
  • CLIA Number: 24D1026915
  • Address: 8875 N 60TH ST
    BROWN DEER, WI
    ZIP 53223
  • Phone: (952) 746-3630

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NPI Details

BEAVER CREEK OPS, LLC is an assisted living facility in Brown Deer, 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. BEAVER CREEK OPS, LLC NPI is 1275984049. The provider is registered as an organization entity type.
The provider Is Doing Business As New Perspective-beaver Creek.

The provider's business location address is:

8875 N 60TH ST
BROWN DEER, WI
ZIP 53223-269
Phone: (952) 746-3630

The provider's authorized official is Ryan Novaczyk .
The authorized official title is President/cfo and has the following contact phone number (612) 840-3924.

The CLIA number assigned to this NPI record is 24D1026915 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2016 and was last updated on 6/23/2016.

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?

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This page was last updated on: 11/21/2025

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