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EMERALD RIDGE ASSISTED LIVING LLC NPI 1871876003


NPI Information

NPI: 1871876003
Provider Name: EMERALD RIDGE ASSISTED LIVING, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 52D0984739

Address:
130 BYRD AVE
NEENAH, WI
ZIP 54956
Phone: (920) 574-3833
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EMERALD RIDGE ASSISTED LIVING, LLC is an assisted living facility in Neenah, 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. EMERALD RIDGE ASSISTED LIVING, LLC NPI is 1871876003. The provider is registered as an organization entity type.

The provider's business location address is:

130 BYRD AVE
NEENAH, WI
ZIP 54956-079
Phone: (920) 574-3833
Fax: (920) 574-3850

The provider's authorized official is Katherine R Tegen .
The authorized official title is Owner and has the following contact phone number (920) 378-5839.

The CLIA number assigned to this NPI record is 52D0984739 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2011 and was last updated on 5/20/2016.


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 FacilityWISCONSINYes

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

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