Lakeside Trinity Care and Wellness LLC
Organization Active NPI In Home Supportive Care Agency · Siren, WI
NPI 1093671703 · NPPES record last updated Feb 24, 2026
Key facts
- NPI
- 1093671703
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- LAKESIDE TRINITY CARE AND WELLNESS LLC
- Practice address
- 23926 4TH Ave
Siren, WI 54872-8312 - Phone
- (715) 791-4222
- Fax
- (715) 349-5189
- NPI assigned
- Dec 27, 2025
- Organization subpart
- No
Authorized official
- Name
- Mrs. Sara Stadler
- Title
- Owner / Administrator
- Phone
- (715) 791-0292
National Provider Directory
Locations
23926 4th Ave
Siren, WI 54872
Phone (715) 349-2292
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
23926 4TH Ave
Siren, WI 54872-8312
Mailing address
23926 4TH Ave
Siren, WI 54872-8312
Phone (715) 791-0292
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- Tarah Lynn Liljeberg
- Kevin Charles Link
- Anne J Lupo Gondwe
- Dawn Renee Merchant
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All providers in Siren, WI · In Home Supportive Care Agency in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.