Beaver Creek Ops, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BEAVER CREEK OPS, LLC

Doing business as

New Perspective-Beaver Creek

Practice address

8875 N 60TH St
Brown Deer, WI 53223-2269

Phone

(952) 746-3630

NPI assigned

Jun 23, 2016

Last updated

Jun 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Novaczyk

Title

President/Cfo

Phone

(612) 840-3924

Specialties & licenses 1

Addresses

Other names 1

• New Perspective-Beaver Creek Doing business as

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1275984049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8875 N 60TH ST",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532232269",
            "telephone_number": "952-746-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8875 N 60TH ST",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532232269",
            "telephone_number": "952-746-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER CREEK OPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "NOVACZYK",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT/CFO",
        "authorized_official_telephone_number": "612-840-3924"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Perspective-Beaver Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Brown Deer, WI
• Providers in Brown Deer, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.