1. Home
  2. Directory
  3. Wisconsin
  4. Cudahy
  5. Assisted Living Facility
  6. NPI Profile

CUDAHY PLACE
NPI 1255260519
Assisted Living Facility in Cudahy, WI

Active since May 14, 2026CLIA 52D2107971 · Waiver
3460 E BARNARD AVE, CUDAHY, WI 53110(312) 462-4462 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cudahy Place NPPES

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

CUDAHY PLACE (NPI 1255260519) is a healthcare organization registered as an assisted living facility in Cudahy, Wisconsin and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through September 26, 2026 and lists Thomas M Ostrom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255260519
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCUDAHY PLACE
Location Address3460 E BARNARD AVECudahy, WI 53110-1650
Mailing Address230 W Monroe St Ste 710Chicago, IL 60606-4702 · (312) 462-4462
Phone(312) 462-4462
Organization SubpartNo
Authorized OfficialThomas M OstromCeo · (312) 623-0884
Enumeration DateMay 14, 2026
NPPES CertifiedMay 14, 2026
✔ NPI 1255260519 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.
3460 E BARNARD AVE, Cudahy, WI 53110
Open in Google Maps ↗

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 52D2107971

Cudahy Place · Cudahy, WI
Active · expires Sep 26, 2026
CLIA Number52D2107971
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateSeptember 26, 2026
Laboratory DirectorNicole L. Kunze
Laboratory Phone(262) 352-4702
Laboratory LocationCudahy Place3460 E Barnard Ave, Cudahy, WI 53110
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Cudahy Place's NPI number?

The NPI number for Cudahy Place is 1255260519. It was assigned to this organization in the NPPES registry on May 14, 2026.

Where is Cudahy Place located?

Cudahy Place is located at 3460 E Barnard Ave, Cudahy, WI 53110. The listed phone number is (312) 462-4462.

What is Cudahy Place's specialty?

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

Does Cudahy Place hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2107971) is associated with this NPI, valid through September 26, 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 Cudahy 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 2 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.