Active NPI
Lake Mills Al, LLC
- Assisted Living Facility
- Lake Mills, WI
National Provider Identifier
1053291476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.