Clearwater Assisted Living

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CLEARWATER ASSISTED LIVING

Practice address

800 Wisconsin St
BLDG D04, Ste 202
Eau Claire, WI 54703

Phone

(715) 514-9845

NPI assigned

Nov 20, 2024

Last updated

Nov 20, 2024By 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

Jordan Kimball Mason

Title

Co-Owner

Phone

(715) 514-9845

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1891510251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WISCONSIN ST",
            "address_2": "MAIL BOX 80",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54703",
            "telephone_number": "715-514-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WISCONSIN ST",
            "address_2": "BLDG D04, STE 202",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54703",
            "telephone_number": "715-514-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "KIMBALL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "715-514-9845"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel M Clark, MD
• Mary Beth Clark, SLP
• Clear Water Home Care LLC
• Clear Water Therapy, LLC
• Clearsky Rehabilitation Hospital of Eau Claire LLC
• Clearwater Care Center, LLC
• Clearwater Chiropractic LLC
• Clearwater Chiropractic LLC
• Clearwater Counseling and Personal Growth Center, Inc.
• Clearwater Dental SC

• In Home Supportive Care Agency in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.