Organization Active NPI

Spooner Assisted Living LLC

  • Assisted Living Facility
  • Spooner, WI
National Provider Identifier
1295526770
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SPOONER ASSISTED LIVING LLC
Practice address
819 Ash St
Spooner, WI 54801-1201
Phone
(715) 415-5699
NPI assigned
May 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Isaak Markovits
Title
Managing Member
Phone
(608) 448-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

819 Ash St
Spooner, WI 54801-1201

Mailing address

819 Ash St
Spooner, WI 54801-1201

Other names 1

  • Dove Healthcare - Spooner 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
52D2249885Dove Healthcare- Spooner Assisted Living819 Ash St Unit 21001, Spooner, WI 54801Certificate of waiverJan 23, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1295526770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 ASH ST",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548011201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 ASH ST",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548011201",
            "telephone_number": "715-415-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOONER ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "MARKOVITS",
        "authorized_official_first_name": "ISAAK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "608-448-6200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dove Healthcare - Spooner Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spooner, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.