Ms-Ac Kaukauna Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MS-AC KAUKAUNA SENIOR LIVING, LLC

Doing business as

The Landings of Kaukauna

Practice address

793 Tarragon Dr
Kaukauna, WI 54130-3075

Phone

(920) 462-4018

Fax

(920) 758-0820

NPI assigned

Aug 2, 2022

Last updated

Aug 2, 2022By 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

Ms. Catie Riebe

Title

Executive Director

Phone

(920) 462-4018

Specialties & licenses 2

Addresses

Other names 1

• The Landings of Kaukauna Doing business as

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1093442980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 TARRAGON DR",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541303075",
            "telephone_number": "920-462-4018",
            "fax_number": "920-758-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 TARRAGON DR",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541303075",
            "telephone_number": "920-462-4018",
            "fax_number": "920-758-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS-AC KAUKAUNA SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "RIEBE",
        "authorized_official_first_name": "CATIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "920-462-4018",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Landings of Kaukauna",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Kaukauna, WI
• Providers in Kaukauna, 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 Aug 2, 2022; 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.