MEADOWMERE OAK CREEK MANAGEMENT, LLC
NPI 1205011806
Assisted Living Facility in Oak Creek, WI
About Meadowmere Oak Creek Management, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEADOWMERE OAK CREEK MANAGEMENT, LLC (NPI 1205011806) is a healthcare organization registered as an assisted living facility in Oak Creek, Wisconsin and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through June 16, 2028 and lists John Carl Rogge, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 52D2214027
Meadowmere Oak Creek · Oak Creek, WIOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OAK CREEK, WI 53154
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 Meadowmere Oak Creek Management, LLC's NPI number?
The NPI number for Meadowmere Oak Creek Management, LLC is 1205011806. It was assigned to this organization in the NPPES registry on January 2, 2008.
Where is Meadowmere Oak Creek Management, LLC located?
Meadowmere Oak Creek Management, LLC is located at 701 E Puetz Rd, Oak Creek, WI 53154. The listed phone number is (414) 766-2100.
What is Meadowmere Oak Creek Management, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Meadowmere Oak Creek Management, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2214027) is associated with this NPI, valid through June 16, 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 Meadowmere Oak Creek Management, LLC was last updated on January 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Meadowmere Oak Creek Management, Llc · NPI 1205011806
Assisted Living Facility organization in Oak Creek, Wisconsin. Organization record, active in the CMS NPPES registry since January 2, 2008.
## Identity
- **NPI:** 1205011806 (Entity type: Organization)
- **Enumerated:** January 2, 2008
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** John Rogge, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 701 E PUETZ RD, Oak Creek, WI 53154-3257
- **Phone:** (414) 766-2100
## Record status
- **NPPES last updated:** January 2, 2008
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205011806) · Data from the CMS NPPES public registry.