Arbor Village Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ARBOR VILLAGE INC

Practice address

620 Harper Ave
Peshtigo, WI 54157-1134

Phone

(715) 801-0388

Fax

(715) 408-4481

NPI assigned

Jul 5, 2021

Organization subpart

No

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

Authorized official

Name

Nancy Kafura

Title

Administrator

Phone

(715) 801-0388

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625443200000",
    "number": "1659942316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 HARPER AVE",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "541571134",
            "telephone_number": "715-801-0388",
            "fax_number": "715-408-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HARPER AVE",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "541571134",
            "telephone_number": "715-801-0388",
            "fax_number": "715-408-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR VILLAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-06-27",
        "status": "A",
        "authorized_official_last_name": "KAFURA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-801-0388"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn M Anderla, MA CCC-SLP
• Aurora Bay Area Medical Group, LLC
• Aurora Medical Group, Inc.
• Justine Ann Bantle, COTA
• Vicki Bauman
• Tammy Lynn Bayerl, PTA

• Assisted Living Facility in Peshtigo, WI
• Providers in Peshtigo, 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 Jul 5, 2021; 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.