Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GREAT LAKES CARE LLC
NPI 1639075880
Custodial Care Facility - Adult Care Home in Appleton, WI

Q: What is Great Lakes Care LLC's NPI number?

The NPI number for Great Lakes Care LLC is 1639075880. It was assigned to this organization in the NPPES registry on October 15, 2026.

Q: What is Great Lakes Care LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since October 15, 2026

3091 N CASALOMA DR APT 225, APPLETON, WI 54913(207) 900-4164 Get Directions Write a Review

NPPES record added: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Great Lakes Care Llc NPPES

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

GREAT LAKES CARE LLC (NPI 1639075880) is a healthcare organization registered as an adult care home in Appleton, Wisconsin and active in the NPI registry since October 2026. The organization lists Yves Mpundu, Authourised Representative, as its authorized official.

NPPES Registry Identity

NPI1639075880

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameGREAT LAKES CARE LLC

Location Address3091 N CASALOMA DR APT 225Appleton, WI 54913-9066

Mailing Address3091 N Casaloma Dr Apt 225Appleton, WI 54913-9066 · (207) 900-4164

Phone(207) 900-4164

Organization SubpartNo

Authorized OfficialYves MpunduAuthourised Representative · (207) 900-4164

Enumeration DateOctober 15, 2026

NPPES CertifiedOctober 15, 2026

✔ NPI 1639075880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Also ListedAssisted Living FacilityTaxonomy 310400000X

3091 N CASALOMA DR APT 225, Appleton, WI 54913

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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 Great Lakes Care LLC's NPI number?

The NPI number for Great Lakes Care LLC is 1639075880. It was assigned to this organization in the NPPES registry on October 15, 2026.

Where is Great Lakes Care LLC located?

Great Lakes Care LLC is located at 3091 N Casaloma Dr Apt 225, Appleton, WI 54913. The listed phone number is (207) 900-4164.

What is Great Lakes Care LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Great Lakes Care LLC was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.