Madison Wi BG Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MADISON WI BG OPCO LLC

Doing business as

CHEROKEE PARK PLACE

Practice address

1601 Wheeler Rd
Madison, WI 53704-7056

Phone

(608) 291-4440

Fax

(312) 725-7041

NPI assigned

Oct 19, 2017

Organization subpart

No

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

Authorized official

Name

Daniel Guill

Title

Authorized Signatory

Phone

(312) 725-7000

Specialties & licenses 1

Addresses

Other names 1

• CHEROKEE PARK PLACE Doing business as

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1093226847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N WABASH AVE STE 3700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606117605",
            "telephone_number": "312-725-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WHEELER RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537047056",
            "telephone_number": "608-291-4440",
            "fax_number": "312-725-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON WI BG OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "GUILL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "312-725-7000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHEROKEE PARK PLACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Madison, WI
• Providers in Madison, 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 Oct 19, 2017; 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.