GREEN MEADOWS SENIOR LIVING LLC
NPI 1205695467
Assisted Living Facility in Appleton, WI

Active since March 18, 2024
3201 W 1ST AVE, APPLETON, WI 54914(920) 738-0118 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About GREEN MEADOWS SENIOR LIVING LLC

This page provides the complete NPI Profile along with additional information for Green Meadows Senior Living Llc, a provider established in Appleton, Wisconsin operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1205695467 assigned on March 2024. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Amber Tueller (Secretary)

NPI
1205695467 Verify this NPI
Provider Name
GREEN MEADOWS SENIOR LIVING LLC
Other Name Type
(6)
Entity Type
Organization
Location Address
3201 W 1ST AVE APPLETON, WI 54914
Location Phone
(920) 738-0118
Mailing Address
1675 E RIVERSIDE DR STE 200 EAGLE, ID 83616
Mailing Phone
(208) 401-1400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-18-2024
Last Update Date
07-29-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMBER TUELLER

Authorized Official Title
SECRETARY
Authorized Official Phone
(208) 207-2726

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
3201 W 1ST AVE
APPLETON, WI 54914

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205695467, enumerated as an "organization" on March 18, 2024.

The provider is located at 3201 W 1ST AVE APPLETON, WI 54914 and the phone number is (920) 738-0118.

Assisted Living Facility with taxonomy code 310400000X.