Active NPI
Willow Winds Living, L.L.C.
- Assisted Living Facility
- Whitewater, WI
National Provider Identifier
1558668905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 0013560
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.