C & P Oaks Algoma LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0014875 Issued in WI

Legal business name

C & P OAKS ALGOMA LLC

Doing business as

Oak Creek Assisted Living

Practice address

1505 Washington St
Algoma, WI 54201-1900

Phone

(920) 487-8152

Fax

(920) 487-8153

NPI assigned

Apr 23, 2018

Last updated

Apr 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marie C. Pinchart, RN

Title

RN/Administrator

Phone

(920) 487-8152

Specialties & licenses 1

Addresses

Other names 1

• Oak Creek Assisted Living Doing business as

Locations

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1063900371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 WASHINGTON ST",
            "city": "ALGOMA",
            "state": "WI",
            "postal_code": "542011900",
            "telephone_number": "920-487-8152",
            "fax_number": "920-487-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WASHINGTON ST",
            "city": "ALGOMA",
            "state": "WI",
            "postal_code": "542011900",
            "telephone_number": "920-487-8152",
            "fax_number": "920-487-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & P OAKS ALGOMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "PINCHART",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "RN/ADMINISTRATOR",
        "authorized_official_telephone_number": "920-487-8152",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "0014875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Creek Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• William F Bluett, PT
• Allycia E Bretl, LCSW, SAC-IT
• Melissa A Brockman, PT
• City of Algoma (Algoma Fire & Rescue)
• D G Kenny DC SC
• Door County Memorial Hospital (Door County Medical Center Algoma)
• Ashley Duescher, MSW, LCSW
• Cheryl L Enabnit, COTA/L

• Assisted Living Facility in Algoma, WI
• Providers in Algoma, 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 Apr 23, 2018; 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.