Active NPI
Marathon Meadows Care LLC
- Assisted Living Facility
- Weston, WI
National Provider Identifier
1174470132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- MARATHON MEADOWS CARE LLC
- Practice address
- 6004 Jessica St
Weston, WI 54476-3684 - Phone
- (651) 440-6939
- NPI assigned
- Mar 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Fuad Mohamud Farah
- Title
- Managing Member
- Phone
- (651) 440-6939
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
6004 Jessica St
Weston, WI 54476-3684
Mailing address
6004 Jessica St
Weston, WI 54476-3684
Phone (651) 440-6939
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773187200000",
"number": "1174470132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6004 JESSICA ST",
"city": "WESTON",
"state": "WI",
"postal_code": "544763684",
"telephone_number": "651-440-6939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6004 JESSICA ST",
"city": "WESTON",
"state": "WI",
"postal_code": "544763684",
"telephone_number": "651-440-6939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARATHON MEADOWS CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-11",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A",
"authorized_official_last_name": "FARAH",
"authorized_official_first_name": "FUAD",
"authorized_official_middle_name": "MOHAMUD",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "651-440-6939",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.