Mystic Acres, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MYSTIC ACRES, LLC

Practice address

12878 County Highway I
Viola, WI 54664-8709

Phone

(608) 553-1753

NPI assigned

Jan 15, 2026

Organization subpart

No

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

Authorized official

Name

Diane CookNPI 1093174765

Title

Owner

Phone

(608) 553-1753

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane Cook

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Viola, WI
  • NPI 1093174765
  NPD Authorized official

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1063370120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17969 WILSON SPRINGS RD",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535818588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12878 COUNTY HIGHWAY I",
            "city": "VIOLA",
            "state": "WI",
            "postal_code": "546648709",
            "telephone_number": "608-553-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYSTIC ACRES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-553-1753"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Wayne Hajzl, D.C.
• Patricia Karn Helgerson
• Kickapoo Area School District
• Kickapoo Valley Rescue Squad Inc
• Sylvia Christine Longacre, ACUPUNCTURIST
• Mystic Creek, LLC
• Scenic Bluffs Health Center, Inc
• Viola Health Services and Osteoporosis Center, LTD

• Assisted Living Facility in Viola, WI
• Providers in Viola, 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 Jan 15, 2026; 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.