Organization Active NPI

Primrose Senior Living, Inc.

Doing business as Maple Meadows Assisted Living

  • Assisted Living Facility
  • Fond Du Lac, WI
National Provider Identifier
1255865960
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PRIMROSE SENIOR LIVING, INC.
Doing business as
Maple Meadows Assisted Living
Practice address
1001 Primrose LN
Fond Du Lac, WI 54935-1800
Phone
(920) 924-7775
Fax
(920) 924-7767
NPI assigned
Apr 19, 2017
Last updated
Jun 11, 2025By the provider in NPPES
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

1001 Primrose LN
Fond Du Lac, WI 54935-1800

Mailing address

1001 Primrose LN
Fond Du Lac, WI 54935-1800
Phone (920) 924-7775

Other names 1

  • Maple Meadows 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
52D1019298Maple Meadows Assisted Living1001 Primrose Lane, Fond Du Lac, WI 54935Certificate of waiverNov 16, 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": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1255865960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PRIMROSE LN",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549351800",
            "telephone_number": "920-924-7775",
            "fax_number": "920-924-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PRIMROSE LN",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549351800",
            "telephone_number": "920-924-7775",
            "fax_number": "920-924-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMROSE SENIOR LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "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": "Maple Meadows Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fond Du Lac, 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.