Organization Active NPI

Fitchburg Assisted Living

  • Assisted Living Facility
  • Fitchburg, WI
National Provider Identifier
1770424251
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FITCHBURG ASSISTED LIVING
Practice address
5669 Wilshire Dr
Fitchburg, WI 53711-5386
Phone
(608) 820-2980
NPI assigned
Apr 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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) 623-0884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5669 Wilshire Dr
Fitchburg, WI 53711-5386

Mailing address

230 W Monroe St Ste 710
Chicago, IL 60606-4702
Phone (312) 623-0884

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
52D2298790Fitchburg Assisted Living LLC5669 Wilshire Drive, Fitchburg, WI 53711Certificate of waiverFeb 7, 2028

National Provider Directory

National Provider Directory

Locations

230 W Monroe St
Ste 710
Chicago, IL 60606

5669 Wilshire Dr
Fitchburg, WI 53711
Phone (608) 820-2980

NPI Registry JSON

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": "1770424251",
    "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": "5669 WILSHIRE DR",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115386",
            "telephone_number": "608-820-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITCHBURG ASSISTED LIVING",
        "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": "312-623-0884"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • 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.
  • 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.