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HARTLAND TERRACE, LLC
NPI 1063620623
Assisted Living Facility in Hartland, WI

Active since May 18, 2007CLIA 52D1011994 · Waiver
327 NORTH AVE # B, HARTLAND, WI 53029(262) 369-4392 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hartland Terrace, Llc NPPES

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

HARTLAND TERRACE, LLC (NPI 1063620623) is a healthcare organization registered as an assisted living facility in Hartland, Wisconsin and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Lynn M Kautz, Owner, as its authorized official.

NPPES Registry Identity

NPI1063620623
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHARTLAND TERRACE, LLC
Location Address327 NORTH AVE # BHartland, WI 53029-1719
Mailing Address327 North Ave # BHartland, WI 53029-1719 · (262) 369-4392
Phone(262) 369-4392
Organization SubpartNo
Authorized OfficialLynn M KautzOwner · (262) 538-1446
Enumeration DateMay 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063620623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in WI · 0011537
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.
327 NORTH AVE # B, Hartland, WI 53029
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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 52D1011994

Hartland Terrace II LLC · Hartland, WI
Active · expires Apr 28, 2027
CLIA Number52D1011994
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorJami Kirschnik
Laboratory Phone(262) 369-4391
Laboratory LocationHartland Terrace II LLC327B North Ave, Hartland, WI 53029
CLIA data matches this NPI record on: 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 Hartland Terrace, LLC's NPI number?

The NPI number for Hartland Terrace, LLC is 1063620623. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Hartland Terrace, LLC located?

Hartland Terrace, LLC is located at 327 North Ave # B, Hartland, WI 53029. The listed phone number is (262) 369-4392.

What is Hartland Terrace, LLC's specialty?

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

Does Hartland Terrace, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D1011994) is associated with this NPI, valid through April 28, 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 Hartland Terrace, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.