Organization Active NPI

Meadowmere SLC Wi Tenant LLC

  • Assisted Living Facility
  • Oak Creek, WI
National Provider Identifier
1336022110
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MEADOWMERE SLC WI TENANT LLC
Practice address
701 East Puetz Road
Oak Creek, WI 53154-3257
Phone
(414) 766-2100
Fax
(414) 766-2200
NPI assigned
Jul 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Christopher J. Bilotto
Title
President & Chief Executive
Phone
(617) 796-8387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

701 East Puetz Road
Oak Creek, WI 53154-3257

Mailing address

255 Washington Street
Suite 300
Newton, MA 02458-1634
Phone (617) 796-8300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1336022110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON STREET",
            "address_2": "SUITE 300",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581634",
            "telephone_number": "617-796-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 EAST PUETZ ROAD",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543257",
            "telephone_number": "414-766-2100",
            "fax_number": "414-766-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWMERE SLC WI TENANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "BILOTTO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.