Meadowmere Oak Creek Management, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10340 Issued in WI

Legal business name

MEADOWMERE OAK CREEK MANAGEMENT, LLC

Practice address

701 E Puetz Rd
Oak Creek, WI 53154-3257

Phone

(414) 766-2100

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Mr. John Carl Rogge

Title

Chief Financial Officer

Phone

(414) 615-7144

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1205011806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E PUETZ RD",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543257",
            "telephone_number": "414-766-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E PUETZ RD",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543257",
            "telephone_number": "414-766-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWMERE OAK CREEK MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "ROGGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "414-615-7144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "10340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharlacia M McDougal
• Brian J McGee, PT
• Nicole Marie McGillicuddy
• Michael S McKinnis Jr., OT
• Eleanor McRae
• Meadowmere SLC Wi Tenant LLC
• Jamie Lynn Meece
• Surinder K Mehra, D.M.D.
• Mark A. Meier, M.D.
• Meijer Stores Limited Partnership

• Assisted Living Facility in Oak Creek, WI
• Providers in Oak Creek, 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 Jan 2, 2008; 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.