NOHC JACKSON SENIOR LIVING LLC (NPI# 1598377905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598377905 |
| Entity Type | Organization |
| Organization Name | NOHC JACKSON SENIOR LIVING LLC |
| Practice Address |
N16744 Eagle Drive Jackson WI 53037 |
| Mailing Address |
1025 Shermer Rd Northbrook IL 60062-3730 |
| Practice Telephone | 8476120750 |
| Mailing Telephone | 8476120750 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | DEAN CARL MASCHOFF (MEMBER) |
| Authorized Official Telephone | 8476120750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Forest View Manor | Doing Business As Name - Organization |
| Street Address |
N16744 EAGLE DRIVE |
| City | JACKSON |
| State | WI |
| Zip Code | 53037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467996991 | Children's Medical Group | Pediatrics | N168w22730 Prairie View Lane, Jackson, WI 53037 | 2016-12-19 |
| 1700176682 | Lincoln Healthcare, Inc | Home Health | W227n16841 Tillie Lake Court, Jackson, WI 53037 | 2011-04-13 |
| 1023211380 | Laura Jean Steinmetz | Licensed Practical Nurse | N170 W20309 Hunters Rd, Jackson, WI 53037 | 2007-06-06 |
| 1073722724 | Peter Christian Labudde | Dentist | N168 W20566 Main St, Jackson, WI 53037 | 2007-05-21 |
| 1104952597 | Judith Barbara Miller | Registered Nurse | 3114 Sherman Parc Circle, Jackson, WI 53037 | 2007-02-27 |
| 1548395684 | Joan Alice Heath | Registered Nurse | N168w21700 Main St Lot 122, Jackson, WI 53037 | 2007-02-22 |
| 1578511739 | Carol Lynn Radovich | Nurse Practitioner | W197n17054 Stonewall Dr, Jackson, WI 53037 | 2006-05-04 |
| 1699752907 | Zhaleh Barari | Optometrist | W194 N 16747 Eagle Dr., Suite N, Jackson, WI 53037 | 2005-12-28 |
| 1790399780 | Jackson Town & Country Dental LLC | Dentist | N168 W20566 Main St, Jackson, WI 53037 | 2020-09-07 |
| 1285847913 | Jessica Ann Melstrand | Registered Nurse | 3114 Sherman Parc Circle, Jackson, WI 53037 | 2007-05-08 |
| Find all providers in zip 53037 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952924706 | Snh Se Tenant Trs, Inc | Assisted Living Facility | N168w22022 Main St, Jackson, WI 53037-9469 | 2020-05-27 |
| 1386124550 | Victorian Villa Assisted Living LLC | Assisted Living Facility | 5585 Brooklyn Rd South, Jackson, MI 49201-8570 | 2018-08-17 |
| 1215438585 | The Villas of Jackson LLC | Assisted Living Facility | 670 Broadridge, Jackson, MO 63755 | 2018-02-22 |
| 1912455361 | Victorious Healthcare L.L.C. | Assisted Living Facility | 4959 Laurel Oak Dr, Jackson, MS 39212-2150 | 2016-09-14 |
| 1265816433 | Open Arms Personal Care Home | Assisted Living Facility | 539 Claiborne Ave, Jackson, MS 39209-5340 | 2015-07-16 |
| 1629405121 | Ec Jackson Operations, LLC | Assisted Living Facility | 911 Old Humboldt Rd, Jackson, TN 38305-5668 | 2013-09-30 |
| 1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
| 1740522135 | Harmony Court Assisted Living Home Inc | Assisted Living Facility | 5411 I 55 N, Jackson, MS 39206-3616 | 2013-03-23 |
| 1215225149 | House of Faith LLC | Assisted Living Facility | 928 Hunt St, Jackson, MS 39203-2908 | 2011-07-12 |
| 1528359189 | Shanell's Residential Care Home, Inc. | Assisted Living Facility | 4022 California Ave, Jackson, MS 39213-5513 | 2011-04-29 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.