MARLA VISTA MANOR ASSISTED LIVING OF GREEN BAY, LLC
NPI 1144544354
Assisted Living Facility in Green Bay, WI

Q: What is Marla Vista Manor Assisted Living Of Green Bay, LLC's specialty?

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

Active since March 16, 2010

1006 N MILITARY AVE, GREEN BAY, WI 54303(920) 499-1119(920) 499-1191 Get Directions Write a Review

NPPES record last updated: March 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marla Vista Manor Assisted Living Of Green Bay, Llc NPPES

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

MARLA VISTA MANOR ASSISTED LIVING OF GREEN BAY, LLC (NPI 1144544354) is a healthcare organization registered as an assisted living facility in Green Bay, Wisconsin and active in the NPI registry since March 2010. The organization lists Katherine R. Tegen, Manager, as its authorized official.

NPPES Registry Identity

NPI1144544354

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameMARLA VISTA MANOR ASSISTED LIVING OF GREEN BAY, LLC

Location Address1006 N MILITARY AVEGreen Bay, WI 54303-4412

Mailing AddressW3124 Van Roy RdAppleton, WI 54915-3982 · (920) 574-3833 · Fax (920) 574-3850

Phone(920) 499-1119

Fax(920) 499-1191

Organization SubpartNo

Authorized OfficialKatherine R. TegenManager · (920) 378-5839

Enumeration DateMarch 16, 2010

✔ NPI 1144544354 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.

1006 N MILITARY AVE, Green Bay, WI 54303

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Other Providers at the Same Location NPPES

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

PINE GROVE SENIOR LIVING LLC

Assisted Living Facility

1006 N MILITARY AVE
GREEN BAY, WI 54303

Brown County (920) 499-1119

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 Marla Vista Manor Assisted Living Of Green Bay, LLC's NPI number?

The NPI number for Marla Vista Manor Assisted Living Of Green Bay, LLC is 1144544354. It was assigned to this organization in the NPPES registry on March 16, 2010.

Where is Marla Vista Manor Assisted Living Of Green Bay, LLC located?

Marla Vista Manor Assisted Living Of Green Bay, LLC is located at 1006 N Military Ave, Green Bay, WI 54303. The listed phone number is (920) 499-1119.

What is Marla Vista Manor Assisted Living Of Green Bay, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Marla Vista Manor Assisted Living Of Green Bay, LLC was last updated on March 16, 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.