Wisconsin Independent Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WISCONSIN INDEPENDENT LIVING, INC.

Practice address

757 Pleasant LN
Menasha, WI 54952-2439

Phone

(920) 215-3485

NPI assigned

May 15, 2018

Last updated

May 15, 2018By 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

Corinna Lundquist

Title

President

Phone

(920) 252-1054

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1366932436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 W WISCONSIN AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 PLEASANT LN",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549522439",
            "telephone_number": "920-215-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN INDEPENDENT LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "LUNDQUIST",
        "authorized_official_first_name": "CORINNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-252-1054"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davian Willems
• Brianne M Williams, PT, DPT
• Holly D Wilson, APSW
• Wisco Dental, S.C. (Fox Valley Orthodontics)
• Wisconsin Eye Consultants S. C.
• Wisconsin Prosthetics & Orthotics Inc (NovaCare Prosthetics & Orthotics)
• Ashley B. Witlacil, SAC
• Julie Wockenfus, CSAC
• Michael J Wockenfus, D.D.S.
• Wojciech a. Gadowski, MD, SC

• Assisted Living Facility in Menasha, WI
• Providers in Menasha, 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 May 15, 2018; 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.