Senior Care Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SENIOR CARE ASSISTED LIVING LLC

Doing business as

Emerald Way Assisted Living

Practice address

831 E Washington St
West Bend, WI 53095-2625

Phone

(262) 335-1992

Fax

(262) 335-9499

NPI assigned

Jun 23, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Barbara Bittner

Title

Manager

Phone

(920) 378-1913

Specialties & licenses 1

Addresses

Other names 1

• Emerald Way Assisted Living Doing business as

Tax ID family

Emerald Ridge Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Scal of Hobart, LLC

  dba Emerald Ridge Assisted Living

  • Assisted Living Facility
  • Hobart, WI
  • NPI 1568810422
  NPD tax ID

Locations

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1194130732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 N BALLARD RD",
            "address_2": "SUITE 202 APPLETON",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118804",
            "telephone_number": "920-574-3833",
            "fax_number": "920-574-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 E WASHINGTON ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530952625",
            "telephone_number": "262-335-1992",
            "fax_number": "262-335-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "BITTNER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "920-378-1913",
        "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": "Emerald Way Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karsen Rose Seeger
• Alyssa Sekadlo
• Kirsten Elise Seline, LPC-IT, SAC-IT
• Mark Rudolph Selle, RPH
• Kathryn Semrau
• Jonathan Andrew Seyer
• Elliot Shambeau
• Anne Sharpe, OT
• Molly Shea
• Lauren Sheafer, PA-C

• Assisted Living Facility in West Bend, WI
• Providers in West Bend, 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 Jun 23, 2014; 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.