Organization Active NPI

Chamomile II Assisted Living, LTD.

  • Assisted Living Facility
  • Madison, WI
National Provider Identifier
1124851175
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CHAMOMILE II ASSISTED LIVING, LTD.
Practice address
842 Jupiter Dr
Madison, WI 53718-2946
Phone
(608) 405-5568
NPI assigned
Aug 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2024

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

Authorized official

Name
Jeffrey Shields
Title
Owner
Phone
(608) 228-7523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

842 Jupiter Dr
Madison, WI 53718-2946

Mailing address

842 Jupiter Dr
Madison, WI 53718-2946

National Provider Directory

National Provider Directory

Locations

842 Jupiter Dr
Madison, WI 53718
Phone (608) 405-5568

NPI Registry JSON

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

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724457600000",
    "number": "1124851175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 JUPITER DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537182946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 JUPITER DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537182946",
            "telephone_number": "608-405-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMOMILE II ASSISTED LIVING, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-24",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-228-7523"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; 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.