Organization Active NPI

Two Rivers Senior Living, Inc.

  • Assisted Living Facility
  • Two Rivers, WI
National Provider Identifier
1700260890
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Jun 11, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D1105746Meadow View Assisted Living4606 Mishicot Rd, Two Rivers, WI 54241Certificate of waiverSep 27, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.