Organization Active NPI

Willow Winds Living, L.L.C.

  • Assisted Living Facility
  • Whitewater, WI
National Provider Identifier
1558668905
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
0013560 Issued in WI
Legal business name
WILLOW WINDS LIVING, L.L.C.
Practice address
N372/374 Twinkling Star Rd
N346/378 Twinkling Star Rd
Whitewater, WI 53190
Phone
(920) 723-1429
NPI assigned
Feb 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Leonard Leslie Kline
Title
Owner
Phone
(920) 723-1429

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 0013560 WI Primary
Assisted Living Facility (Mental Illness) 3104A0625X
Assisted Living Facility (Behavioral Disturbances) 3104A0630X 0013560 WI

Addresses

Primary practice location

N372/374 Twinkling Star Rd
N346/378 Twinkling Star Rd
Whitewater, WI 53190

Mailing address

W7704 R and W Townline Rd
Whitewater, WI 53190
Phone (920) 723-1429

Other names 1

  • Superior Plumbing and Water, LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1558668905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W7704 R AND W TOWNLINE RD",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "53190",
            "telephone_number": "920-723-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N372/374 TWINKLING STAR RD",
            "address_2": "N346/378 TWINKLING STAR RD",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "53190",
            "telephone_number": "920-723-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW WINDS LIVING, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-723-1429"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "0013560",
            "primary": true
        },
        {
            "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": "WI",
            "license": "0013560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Plumbing and Water, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Whitewater, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.