Christine Wings LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

CHRISTINE WINGS LLC

Practice address

37214 Delafield Rd
Oconomowoc, WI 53066-9101

Phone

(414) 243-1699

NPI assigned

Jan 23, 2025

Last updated

Jan 23, 2025By 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

Crystal Lee

Title

Owner/Operator

Phone

(414) 243-1699

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1336951664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37214 DELAFIELD RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530669101",
            "telephone_number": "414-243-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37214 DELAFIELD RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530669101",
            "telephone_number": "414-243-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE WINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "414-243-1699"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Chesky Johnson, MAED, NCC
• Kelsey Chin, DDS
• Chiro-Health
• Chiropractic Company - Oconomowoc LTD (Chiropractic Company)
• Kayla Christiaansen, PT
• Zachary Chudy, DC
• Caroline Cipriano Hanneman
• City of Oconomowoc
• Dan Thomas Cleary, MD
• Kristin Clevenstine, OTR

• Assisted Living Facility (Behavioral Disturbances) in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Assisted Living Facility (Behavioral Disturbances) in Wisconsin

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