HYLAND PARK OF SUN PRAIRIE
NPI 1083925630
Assisted Living Facility in Sun Prairie, WI

Active since June 29, 2010CLIA 52D2073462 · Waiver
881 LIBERTY BLVD, SUN PRAIRIE, WI 53590(608) 834-2073 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hyland Park Of Sun Prairie NPPES

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

HYLAND PARK OF SUN PRAIRIE (NPI 1083925630) is a healthcare organization registered as an assisted living facility in Sun Prairie, Wisconsin and active in the NPI registry since June 2010. The organization holds a CLIA Waiver certificate valid through February 18, 2028 and lists Ann Simonson, Property Manager, as its authorized official.

NPPES Registry Identity

NPI1083925630
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHYLAND PARK EAST LLC
Location Address881 LIBERTY BLVDSun Prairie, WI 53590-4656
Mailing Address881 Liberty BlvdSun Prairie, WI 53590-4656 · (608) 834-2073
Organization SubpartNo
Authorized OfficialAnn SimonsonProperty Manager · (608) 318-1180
Enumeration DateJune 29, 2010
NPI 1083925630 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 · 0013255
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.
881 LIBERTY BLVD, Sun Prairie, WI 53590

Other Names 1

Doing Business AsHyland Park Of Sun Prairie

Other Identifiers 1

Other0013255WI · Wisconsin Rcac Certification

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 52D2073462

Hyland Park · Sun Prairie, WI
Active · expires Feb 18, 2028
CLIA Number52D2073462
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 19, 2026
Certificate Expiration DateFebruary 18, 2028
Laboratory DirectorKiley Bamesberger
Laboratory Phone(608) 834-2073
Laboratory LocationHyland Park881 Liberty Blvd, Sun Prairie, WI 53590
CLIA data matches this NPI record on: Address Name Phone
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 Hyland Park East LLC's NPI number?

The NPI number for Hyland Park East LLC is 1083925630. It was assigned to this organization in the NPPES registry on June 29, 2010. The provider is doing business as Hyland Park Of Sun Prairie.

Where is Hyland Park East LLC located?

Hyland Park East LLC is located at 881 Liberty Blvd, Sun Prairie, WI 53590. The listed phone number is (608) 834-2073.

What is Hyland Park East LLC's specialty?

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

Does Hyland Park East LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2073462) is associated with this NPI, valid through February 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hyland Park East LLC was last updated on June 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.