Active NPI
Cottages Wi LLC
Doing business as Carolina Assisted Living
- Assisted Living Facility
- Appleton, WI
National Provider Identifier
1013695790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- COTTAGES WI LLC
- Doing business as
- Carolina Assisted Living
- Practice address
- 3201 W 1St Ave
Appleton, WI 54914-1131 - Phone
- (920) 738-0118
- Fax
- (920) 738-0641
- NPI assigned
- Jul 11, 2023
- Organization subpart
- Yes
- Parent organization
- COTTAGES WI LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara A Bittner
- Title
- Manager
- Phone
- (920) 378-1913
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
3201 W 1St Ave
Appleton, WI 54914-1131
Mailing address
51 Park PL Ste 100
Appleton, WI 54914-8275
Phone (920) 378-5839
Other names 1
- Carolina Assisted Living
National Provider Directory
National Provider Directory- Part of
- Cottages Wi LLC
Locations
51 Park Pl
Ste 100
Appleton, WI 54914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689033600000",
"number": "1013695790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 PARK PL STE 100",
"city": "APPLETON",
"state": "WI",
"postal_code": "549148275",
"telephone_number": "920-378-5839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 W 1ST AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549141131",
"telephone_number": "920-738-0118",
"fax_number": "920-738-0641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COTTAGES WI LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COTTAGES WI LLC",
"enumeration_date": "2023-07-11",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A",
"authorized_official_last_name": "BITTNER",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "920-378-1913"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Carolina Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.