Emerald Ridge Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EMERALD RIDGE ASSISTED LIVING, LLC

Practice address

130 Byrd Ave
Neenah, WI 54956-4079

Phone

(920) 574-3833

Fax

(920) 574-3850

NPI assigned

Sep 23, 2011

Last updated

May 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Katherine R Tegen

Title

Owner

Phone

(920) 378-5839

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1871876003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 N BALLARD RD",
            "address_2": "SUITE 202",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118804",
            "telephone_number": "920-574-3833",
            "fax_number": "920-574-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BYRD AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564079",
            "telephone_number": "920-574-3833",
            "fax_number": "920-574-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD RIDGE ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "TEGEN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-378-5839",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Eggert
• David B Ehlert, D.D.S.
• James R Eike, D.D.S
• Justin Eisberner
• Erik A Emaus, DO
• Empowerment Living Services
• Jeremiah Ennen
• Carrie Ann Erdmann
• Jenna Erickson, LPC
• Olivia Ertmer

• Assisted Living Facility in Neenah, WI
• Providers in Neenah, 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 May 20, 2016; 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.