Organization Active NPI

Forsetti-Tennyson LLC

Doing business as Tennyson Assisted Living

  • Assisted Living Facility
  • Madison, WI
National Provider Identifier
1225652225
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FORSETTI-TENNYSON LLC
Doing business as
Tennyson Assisted Living
Practice address
1936 Tennyson LN
Madison, WI 53704-2391
Phone
(608) 268-5499
Fax
(608) 492-1716
NPI assigned
Jun 4, 2020
Last updated
Jul 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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

Authorized official

Name
Barbara A Bittner
Title
Manager
Phone
(920) 378-1913

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Alzheimer Center (Dementia Center) 311500000X

Addresses

Primary practice location

1936 Tennyson LN
Madison, WI 53704-2391

Mailing address

5555 W Grande Market Dr Ste a
Appleton, WI 54913-8170
Phone (920) 378-1913

Other names 1

  • Tennyson Assisted Living Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.bakaenterprises.com/locations/tennyson-assisted-living Direct

National Provider Directory

National Provider Directory

Locations

5555 W Grande Market Dr
Ste A
Appleton, WI 54913

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1225652225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 W GRANDE MARKET DR STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138170",
            "telephone_number": "920-378-1913",
            "fax_number": "920-574-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 TENNYSON LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537042391",
            "telephone_number": "608-268-5499",
            "fax_number": "608-492-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSETTI-TENNYSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "BITTNER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "920-378-1913"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.bakaenterprises.com/locations/tennyson-assisted-living",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1936 Tennyson Ln",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537042391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Tennyson Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; 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.