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WICKSHIRE MADISON OPCO LLC
NPI 1114566510
Assisted Living Facility in Madison, WI

Active since January 02, 2020CLIA 11D2061021 · Waiver
1601 WHEELER RD, MADISON, WI 53704(608) 807-4212(608) 249-1776 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wickshire Madison Opco Llc NPPES

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

WICKSHIRE MADISON OPCO LLC (NPI 1114566510) is a healthcare organization registered as an assisted living facility in Madison, Wisconsin and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through December 13, 2026 and lists Daniel Okeefe, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114566510
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWICKSHIRE MADISON OPCO LLC
Location Address1601 WHEELER RDMadison, WI 53704
Mailing Address750 Old Hickory Blvd, Building One Suite 125Brentwood, TN 37027 · (615) 942-0240
Phone(608) 807-4212
Fax(608) 249-1776
Organization SubpartNo
Authorized OfficialDaniel OkeefeCeo · (212) 300-1283
Enumeration DateJanuary 2, 2020
✔ NPI 1114566510 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.
1601 WHEELER RD, Madison, WI 53704
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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 11D2061021

Wickshire Canton Opco, LLC · Canton, GA
Active · expires Dec 13, 2026
CLIA Number11D2061021
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 14, 2024
Certificate Expiration DateDecember 13, 2026
Laboratory DirectorDanielle Adair
Laboratory Phone(615) 942-0240
Laboratory LocationWickshire Canton Opco, LLC125 Riverstone Terrace, Canton, GA 30114
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADISON WI BG OPCO LLC
Assisted Living Facility
1601 WHEELER RD
MADISON, WI 53704
Dane County (608) 291-4440
LEGACY GARDENS ASSISTED LIVING
Assisted Living Facility
1601 WHEELER RD
MADISON, WI 53704
Dane County (503) 485-8697
MARIAH JANISCH PTA
Physical Therapy Assistant
1601 WHEELER RD
MADISON, WI 53704
Dane County (608) 496-8595
EMERITUS CORPORATION
Assisted Living Facility
1601 WHEELER RD
MADISON, WI 53704
Dane County (608) 249-5558
MADISON AL OPERATIONS LLC
Assisted Living Facility
1601 WHEELER RD
MADISON, WI 53704
Dane County (608) 249-5558

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 Wickshire Madison Opco LLC's NPI number?

The NPI number for Wickshire Madison Opco LLC is 1114566510. It was assigned to this organization in the NPPES registry on January 2, 2020.

Where is Wickshire Madison Opco LLC located?

Wickshire Madison Opco LLC is located at 1601 Wheeler Rd, Madison, WI 53704. The listed phone number is (608) 807-4212.

What is Wickshire Madison Opco LLC's specialty?

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

Does Wickshire Madison Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2061021) is associated with this NPI, valid through December 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wickshire Madison Opco LLC was last updated on January 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.