NPIMap

Organization Active NPI

SNH Wis Tenant LLC

Doing business as Meadowmere - Oak Creek

  • Assisted Living Facility
  • Oak Creek, WI
National Provider Identifier
1215585955
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SNH WIS TENANT LLC
Doing business as
Meadowmere - Oak Creek
Practice address
701 E Puetz Rd
Oak Creek, WI 53154-3257
Phone
(414) 766-2100
Fax
(414) 766-2200
NPI assigned
Aug 27, 2019
Last updated
Apr 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SNH WIS TENANT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Christopher J. Bolotto
Title
President & Chief Executive Officer
Phone
(617) 796-8387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

701 E Puetz Rd
Oak Creek, WI 53154-3257

Mailing address

255 Washington St Ste 300
Newton, MA 02458-1634
Phone (617) 796-8350

Other names 1

  • Meadowmere - Oak Creek Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SNH Wis Tenant LLC4 organizations share this tax ID, including this one
Part of
SNH Wis Tenant LLC

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1215585955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON ST STE 300",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581634",
            "telephone_number": "617-796-8350"
        },
        {
            "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",
            "fax_number": "414-766-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH WIS TENANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH WIS TENANT LLC",
        "enumeration_date": "2019-08-27",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "BOLOTTO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadowmere - Oak Creek",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Meadowmere - Oak Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.