LILAC SPRINGS ASSISTED LIVINGS LLC
NPI 1508790239
Assisted Living Facility - Assisted Living, Mental Illness in Lake Mills, WI

Active since June 09, 2026CLIA 52D2095208 · Waiver
403 ONEIL ST, LAKE MILLS, WI 53551(920) 945-0040(920) 945-2012 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lilac Springs Assisted Livings Llc NPPES

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

LILAC SPRINGS ASSISTED LIVINGS LLC (NPI 1508790239) is a healthcare organization registered as an assisted living, mental illness in Lake Mills, Wisconsin and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through May 3, 2027 and lists John Morris, Owner, as its authorized official.

NPPES Registry Identity

NPI1508790239
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameLILAC SPRINGS ASSISTED LIVINGS LLC
Location Address403 ONEIL STLake Mills, WI 53551-1384
Mailing Address1848 Timberlands LnEagle River, WI 54521-7503 · (262) 844-3577
Fax(920) 945-2012
Organization SubpartNo
Authorized OfficialJohn MorrisOwner · (262) 844-3577
Enumeration DateJune 9, 2026
NPPES CertifiedJune 9, 2026
NPI 1508790239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

403 ONEIL ST, Lake Mills, WI 53551

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 52D2095208

Lilac Springs Assisted Living · Lake Mills, WI
Active · expires May 3, 2027
CLIA Number52D2095208
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorNicole Valdez Carr
Laboratory Phone(920) 945-0040
Laboratory LocationLilac Springs Assisted Living403 O'neil St, Lake Mills, WI 53551
CLIA data matches this NPI record on: Name Phone
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 Lilac Springs Assisted Livings LLC's NPI number?

The NPI number for Lilac Springs Assisted Livings LLC is 1508790239. It was assigned to this organization in the NPPES registry on June 9, 2026.

Where is Lilac Springs Assisted Livings LLC located?

Lilac Springs Assisted Livings LLC is located at 403 Oneil St, Lake Mills, WI 53551. The listed phone number is (920) 945-0040.

What is Lilac Springs Assisted Livings LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Does Lilac Springs Assisted Livings LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2095208) is associated with this NPI, valid through May 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lilac Springs Assisted Livings LLC was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.