P&J Oaks

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

P&J OAKS

Doing business as

Oak Creek Assisted Living

Practice address

409 3Rd St
Luxemburg, WI 54217-1023

Phone

(920) 845-5835

NPI assigned

Aug 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Pamela Bauer

Title

Owner

Phone

(920) 845-5835

Specialties & licenses 1

Addresses

Other names 1

• Oak Creek Assisted Living Doing business as

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1114119575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 3RD STREET",
            "city": "LUXEMBURG",
            "state": "WI",
            "postal_code": "54217",
            "telephone_number": "920-845-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 3RD ST",
            "city": "LUXEMBURG",
            "state": "WI",
            "postal_code": "542171023",
            "telephone_number": "920-845-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P&J OAKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-845-5835",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Creek Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luxemburg Pharmacy, LLC
• Sadie Lynn Mleziva, MS CCC SLP
• Kaylee T Ninnemann, LPC
• Lisa Marie Noskowiak, LPN
• Amanda Marie Olson, RN, BSN
• Susan M. Parker, OTR
• Kristen A Powell, M.D.
• Prevea Clinic, Inc.
• Julia Raad
• Ellen A Radocay, APNP

• Assisted Living Facility in Luxemburg, WI
• Providers in Luxemburg, 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 9, 2007; 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.