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MYSTIC CREEK, LLC
NPI 1356700025
Assisted Living Facility in Viola, WI

Active since February 23, 2016
12489 STATE HIGHWAY 56, VIOLA, WI 54664(608) 538-3781(608) 538-3782 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2026, Feb 23, 2016 (2 updates tracked since 2016).

About Mystic Creek, Llc NPPES

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

MYSTIC CREEK, LLC (NPI 1356700025) is a healthcare organization registered as an assisted living facility in Viola, Wisconsin and active in the NPI registry since February 2016. The organization lists Diane Cook, Owner, as its authorized official.

NPPES Registry Identity

NPI1356700025
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMYSTIC CREEK, LLC
Location Address12489 STATE HIGHWAY 56Viola, WI 54664-8914
Mailing Address17969 Wilson Springs RdRichland Center, WI 53581-8588
Phone(608) 538-3781
Fax(608) 538-3782
Organization SubpartNo
Authorized OfficialDiane CookOwner · (608) 538-3781
Enumeration DateFebruary 23, 2016
Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1356700025 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.
12489 STATE HIGHWAY 56, Viola, WI 54664
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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.

DIANE COOK
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
12489 STATE HIGHWAY 56
VIOLA, WI 54664
Vernon County (608) 538-3781

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 Mystic Creek, LLC's NPI number?

The NPI number for Mystic Creek, LLC is 1356700025. It was assigned to this organization in the NPPES registry on February 23, 2016.

Where is Mystic Creek, LLC located?

Mystic Creek, LLC is located at 12489 State Highway 56, Viola, WI 54664. The listed phone number is (608) 538-3781.

What is Mystic Creek, 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 Mystic Creek, LLC was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.