Active NPI
Two Rivers Senior Living, Inc.
- Assisted Living Facility
- Two Rivers, WI
National Provider Identifier
1700260890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- TWO RIVERS SENIOR LIVING, INC.
- Practice address
- 4606 Mishicot Rd
Two Rivers, WI 54241-9217 - Phone
- (920) 794-1950
- Fax
- (920) 794-8608
- NPI assigned
- Jul 17, 2015
- 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
- Amber L Tueller
- Title
- Secretary
- Phone
- (208) 207-2726
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
4606 Mishicot Rd
Two Rivers, WI 54241-9217
Mailing address
4606 Mishicot Rd
Two Rivers, WI 54241-9217
Phone (920) 794-1950
Other names 1
- Meadow View Assisted Living
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D1105746 | Meadow View Assisted Living | Certificate of waiver | Sep 27, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749600000000",
"number": "1700260890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4606 MISHICOT RD",
"city": "TWO RIVERS",
"state": "WI",
"postal_code": "542419217",
"telephone_number": "920-794-1950",
"fax_number": "920-794-8608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4606 MISHICOT RD",
"city": "TWO RIVERS",
"state": "WI",
"postal_code": "542419217",
"telephone_number": "920-794-1950",
"fax_number": "920-794-8608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWO RIVERS SENIOR LIVING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-17",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A",
"authorized_official_last_name": "TUELLER",
"authorized_official_first_name": "AMBER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "208-207-2726"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Meadow View Assisted Living",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Meadow View Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Two Rivers, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.