Organization Active NPI

Manitowoc Senior Living, Inc.

Doing business as Harbor View Assisted Living

  • Assisted Living Facility
  • Manitowoc, WI
National Provider Identifier
1225412372
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MANITOWOC SENIOR LIVING, INC.
Doing business as
Harbor View Assisted Living
Practice address
2115 Cappaert Rd
Manitowoc, WI 54220-1065
Phone
(920) 686-1797
Fax
(920) 686-1858
NPI assigned
Jul 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2115 Cappaert Rd
Manitowoc, WI 54220-1065

Mailing address

2115 Cappaert Rd
Manitowoc, WI 54220-1065
Phone (920) 686-1797

Other names 1

  • Harbor View Assisted 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
52D1105747Harbor View Assisted Living2115 Cappaert Rd, Manitowoc, WI 54220Certificate of waiverSep 27, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1225412372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 CAPPAERT RD",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542201065",
            "telephone_number": "920-686-1797",
            "fax_number": "920-686-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 CAPPAERT RD",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542201065",
            "telephone_number": "920-686-1797",
            "fax_number": "920-686-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANITOWOC SENIOR LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "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": "Harbor View Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harbor View Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.