WATERFORD PLACE
NPI 1235068594
Assisted Living Facility in Waterford, WI
About Waterford Place NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WATERFORD PLACE (NPI 1235068594) is a healthcare organization registered as an assisted living facility in Waterford, Wisconsin and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through February 1, 2028 and lists Thomas M Ostrom, Ceo, 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 52D2251309
Waterford Place Assisted Living · Waterford, 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.
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 Waterford Place's NPI number?
The NPI number for Waterford Place is 1235068594. It was assigned to this organization in the NPPES registry on May 14, 2026.
Where is Waterford Place located?
Waterford Place is located at 808 Cornerstone Xing, Waterford, WI 53185. The listed phone number is (312) 462-4462.
What is Waterford Place's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Waterford Place hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2251309) is associated with this NPI, valid through February 1, 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 Waterford Place was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Waterford Place · NPI 1235068594
Assisted Living Facility organization in Waterford, Wisconsin. Organization record, active in the CMS NPPES registry since May 14, 2026.
## Identity
- **NPI:** 1235068594 (Entity type: Organization)
- **Enumerated:** May 14, 2026
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Thomas Ostrom, CEO
## Practice location
- **Address:** 808 CORNERSTONE XING, Waterford, WI 53185-4562
- **Phone:** (312) 462-4462
## Record status
- **NPPES last updated:** May 14, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235068594) · Data from the CMS NPPES public registry.