Lauras Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAURAS HOME LLC

Practice address

945 Lake Geneva Blvd
Lake Geneva, WI 53147-2443

Phone

(262) 903-2624

NPI assigned

Nov 27, 2024

Organization subpart

No

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

Authorized official

Name

Marc Klug

Title

Owner

Phone

(262) 903-2624

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1063238673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 224",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531470224",
            "telephone_number": "262-903-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 LAKE GENEVA BLVD",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531472443",
            "telephone_number": "262-903-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURAS HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "KLUG",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-903-2624"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Nguyen Lam
• William Landry
• Lauren Lange, OT
• Mervin J Langley, LCSW
• Clayton Lanham, MD
• Meggan Kathleen Lazzaroni, APSW
• Lexi Lederhaus, MSN, FNP
• Monara Beth Ledtke, AU.D.
• Jelka Leedle, APNP
• Tara Leiting, APNP

• Assisted Living Facility in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.