Hyland Park East LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0013255 Issued in WI

Legal business name

HYLAND PARK EAST LLC

Practice address

881 Liberty Blvd
Sun Prairie, WI 53590-4656

Phone

(608) 834-2073

NPI assigned

Jun 29, 2010

Organization subpart

No

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

Authorized official

Name

Ann Simonson

Title

Property Manager

Phone

(608) 318-1180

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hyland Park of Sun Prairie Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1083925630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 LIBERTY BLVD",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535904656",
            "telephone_number": "608-834-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 LIBERTY BLVD",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535904656",
            "telephone_number": "608-834-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYLAND PARK EAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "SIMONSON",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PROPERTY MANAGER",
        "authorized_official_telephone_number": "608-318-1180"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "0013255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN RCAC CERTIFICATION",
            "identifier": "0013255",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hyland Park of Sun Prairie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey E Horkan, DC
• Patricia L Hottmann-Rindy, LCSW
• Nicole Houdek
• Ashley Huempfner, RN
• Tamara Lynn Hull, LPN
• Icare Wi LLC
• Edward Gabriel Immekus, PT
• Inner Harmony Counseling LLC
• Lawrence Jabang
• Jan Jackson

• Assisted Living Facility in Sun Prairie, WI
• Providers in Sun Prairie, 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 Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.