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NOHC MAGNOLIA MEADOWS LLC
NPI 1003427766
Assisted Living Facility in Manitowoc, WI

Active since August 14, 2020CLIA 52D2234021 · Waiver
1480 N 7TH ST, MANITOWOC, WI 54220(847) 612-0750 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nohc Magnolia Meadows Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOHC MAGNOLIA MEADOWS LLC (NPI 1003427766), doing business as Magnolia Meadows, is a healthcare organization registered as an assisted living facility in Manitowoc, Wisconsin and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Dean Carl Maschoff, Member, as its authorized official.

NPPES Registry Identity

NPI1003427766
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameNOHC MAGNOLIA MEADOWS LLC
Location Address1480 N 7TH STManitowoc, WI 54220-2012
Mailing Address1025 Shermer RdNorthbrook, IL 60062-3730 · (847) 612-0750
Phone(847) 612-0750
Organization SubpartNo
Authorized OfficialDean Carl MaschoffMember · (847) 612-0750
Enumeration DateAugust 14, 2020
NPPES CertifiedAugust 14, 2020
✔ NPI 1003427766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

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.

1480 N 7TH ST, Manitowoc, WI 54220
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Other Names 1

Doing Business AsMagnolia Meadows

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2234021

Nohc Magnolia Meadows LLC · Manitowoc, WI
Active · expires Aug 26, 2027
CLIA Number52D2234021
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorDolores Mantik
Laboratory Phone(920) 686-0160
Laboratory LocationNohc Magnolia Meadows LLC1480 N 7th St, Manitowoc, WI 54220
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nohc Magnolia Meadows LLC's NPI number?

The NPI number for Nohc Magnolia Meadows LLC is 1003427766. It was assigned to this organization in the NPPES registry on August 14, 2020. The provider is doing business as Magnolia Meadows.

Where is Nohc Magnolia Meadows LLC located?

Nohc Magnolia Meadows LLC is located at 1480 N 7th St, Manitowoc, WI 54220. The listed phone number is (847) 612-0750.

What is Nohc Magnolia Meadows LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Nohc Magnolia Meadows LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2234021) is associated with this NPI, valid through August 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nohc Magnolia Meadows LLC was last updated on August 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.