Encore Wisconsin LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ENCORE WISCONSIN LLC

Practice address

1660 Hoffman Rd
Green Bay, WI 54311-6299

Phone

(312) 623-0884

Fax

(312) 284-8896

NPI assigned

Apr 1, 2026

Organization subpart

No

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

Authorized official

Name

Thomas Ostrom

Title

President

Phone

(312) 462-4462

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1740121227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W MONROE ST STE 710",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064702",
            "telephone_number": "312-623-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 HOFFMAN RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116299",
            "telephone_number": "312-623-0884",
            "fax_number": "312-284-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "OSTROM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-462-4462"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Green Bay, WI
• Providers in Green Bay, 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 Apr 1, 2026; 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.