Organization Active NPI

Lake Mills Al, LLC

  • Assisted Living Facility
  • Lake Mills, WI
National Provider Identifier
1053291476
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LAKE MILLS AL, LLC
Practice address
300 Oneil St
Lake Mills, WI 53551-1365
Phone
(877) 295-3747
NPI assigned
Sep 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Diane Gabriele Limburg
Title
Licensing Project Coordinator
Phone
(951) 552-0109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

300 Oneil St
Lake Mills, WI 53551-1365

Mailing address

600 3Rd Ave FL 21
New York, NY 10016-1916
Phone (646) 314-4327

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1053291476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 3RD AVE FL 21",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161916",
            "telephone_number": "646-314-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ONEIL ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511365",
            "telephone_number": "877-295-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MILLS AL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "LIMBURG",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "GABRIELE",
        "authorized_official_title_or_position": "LICENSING PROJECT COORDINATOR",
        "authorized_official_telephone_number": "951-552-0109"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mills, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.