Ripon Copperleaf Al Operations LLC
Organization Active NPI Assisted Living Facility · Ripon, WI
NPI 1760127237 · NPPES record last updated Apr 29, 2022
Key facts
- NPI
- 1760127237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- RIPON COPPERLEAF AL OPERATIONS LLC
- Practice address
- 1002 Eureka St
Ripon, WI 54971-1141 - Phone
- (920) 896-0440
- NPI assigned
- Apr 29, 2022
- Organization subpart
- No
Authorized official
- Name
- Maxim Stesel
- Title
- Manager
- Phone
- (773) 825-3336
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
1002 Eureka St
Ripon, WI 54971-1141
Mailing address
8170 McCormick Blvd Ste 112
Skokie, IL 60076-2914
Phone (773) 825-3336
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All providers in Ripon, WI · Assisted Living Facility in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.