Provider Type Icon

SPRINGBROOK COMMUNITY ASSISTED LIVING INC NPI 1518304104


NPI Information

NPI: 1518304104
Provider Name: SPRINGBROOK COMMUNITY ASSISTED LIVING INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 52D2073171

Address:
861 CRITTER CT
ONALASKA, WI
ZIP 54650
Phone: (608) 783-2292
Get Directions

SPRINGBROOK COMMUNITY ASSISTED LIVING INC is an assisted living facility in Onalaska, 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. SPRINGBROOK COMMUNITY ASSISTED LIVING INC NPI is 1518304104. The provider is registered as an organization entity type.

The provider's business location address is:

861 CRITTER CT
ONALASKA, WI
ZIP 54650-689
Phone: (608) 783-2292

The provider's authorized official is Ann E Simonson .
The authorized official title is Owner and has the following contact phone number (608) 630-9535.

The CLIA number assigned to this NPI record is 52D2073171 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2013 and was last updated on 5/23/2013.


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
13104A0625XAssisted Living FacilityAssisted Living, Mental Illness0013768WISCONSINNo
2310400000XAssisted Living Facility0011819WISCONSINYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.