NOHC JACKSON SENIOR LIVING LLC
NPI 1598377905
Assisted Living Facility in Jackson, WI

Active since August 18, 2020CLIA 52D2234023 · Waiver
N16744 EAGLE DRIVE, JACKSON, WI 53037(847) 612-0750 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Nohc Jackson Senior Living Llc NPPES

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

NOHC JACKSON SENIOR LIVING LLC (NPI 1598377905), doing business as Forest View Manor, is a healthcare organization registered as an assisted living facility in Jackson, Wisconsin and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Dean Carl Maschoff, Member, as its authorized official.

NPPES Registry Identity

NPI1598377905
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameNOHC JACKSON SENIOR LIVING LLC
Location AddressN16744 EAGLE DRIVEJackson, WI 53037
Mailing Address1025 Shermer RdNorthbrook, IL 60062-3730 · (847) 612-0750
Organization SubpartNo
Authorized OfficialDean Carl MaschoffMember · (847) 612-0750
Enumeration DateAugust 18, 2020
NPPES CertifiedAugust 18, 2020
NPI 1598377905 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.
N16744 EAGLE DRIVE, Jackson, WI 53037

Other Names 1

Doing Business AsForest View Manor

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 52D2234023

Nohc Jackson Senior Living LLC Dba Forest View Manor · Jackson, WI
Active · expires Aug 26, 2027
CLIA Number52D2234023
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorDolores Mantik
Laboratory Phone(262) 677-0651
Laboratory LocationNohc Jackson Senior Living LLC Dba Forest View ManorW194n16744 Eagle Dr, Jackson, WI 53037
CLIA data matches this NPI record on: 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 Nohc Jackson Senior Living LLC's NPI number?

The NPI number for Nohc Jackson Senior Living LLC is 1598377905. It was assigned to this organization in the NPPES registry on August 18, 2020. The provider is doing business as Forest View Manor.

Where is Nohc Jackson Senior Living LLC located?

Nohc Jackson Senior Living LLC is located at N16744 Eagle Drive, Jackson, WI 53037. The listed phone number is (847) 612-0750.

What is Nohc Jackson Senior Living LLC's specialty?

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

Does Nohc Jackson Senior Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2234023) is associated with this NPI, valid through August 26, 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 Nohc Jackson Senior Living LLC was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.