Organization Active NPI

Green Meadows Senior Living LLC

Doing business as Lotus Gardens Senior Living

  • Assisted Living Facility
  • Appleton, WI
National Provider Identifier
1205695467
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GREEN MEADOWS SENIOR LIVING LLC
Doing business as
Lotus Gardens Senior Living
Practice address
3201 W 1St Ave
Appleton, WI 54914-1131
Phone
(920) 738-0118
NPI assigned
Mar 18, 2024
Last updated
Jul 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Amber Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3201 W 1St Ave
Appleton, WI 54914-1131

Mailing address

1675 E Riverside Dr Ste 200
Eagle, ID 83616-7473
Phone (208) 401-1400

Other names 1

  • Lotus Gardens Senior Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D1000741Lotus Gardens Senior Living3201 1St Ave, Appleton, WI 54914Certificate of waiverJun 20, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1205695467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 E RIVERSIDE DR STE 200",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167473",
            "telephone_number": "208-401-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W 1ST AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141131",
            "telephone_number": "920-738-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MEADOWS SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lotus Gardens Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.