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AUTUMN OAKS PLATINUM LLC
NPI 1679193429
Assisted Living Facility in Slinger, WI

Active since April 22, 2020CLIA 52D0994173 · Waiver
227 E WASHINGTON ST, SLINGER, WI 53086(262) 644-5926(262) 644-7829 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumn Oaks Platinum Llc NPPES

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

AUTUMN OAKS PLATINUM LLC (NPI 1679193429), doing business as Autumn Oaks, is a healthcare organization registered as an assisted living facility in Slinger, Wisconsin and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through December 5, 2027 and lists John Teresinski, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1679193429
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAUTUMN OAKS PLATINUM LLC
Location Address227 E WASHINGTON STSlinger, WI 53086-9585
Mailing Address2448 S 102nd St Ste 305West Allis, WI 53227-2141 · (414) 940-6608
Phone(262) 644-5926
Fax(262) 644-7829
Organization SubpartNo
Authorized OfficialJohn TeresinskiManaging Director · (414) 940-6608
Enumeration DateApril 22, 2020
NPPES CertifiedApril 22, 2020
✔ NPI 1679193429 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.
227 E WASHINGTON ST, Slinger, WI 53086
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Other Names 1

Doing Business AsAutumn Oaks

Other Identifiers 1

Other0016717WI · Wisconsin Dhs

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 52D0994173

Autumn Oaks · Slinger, WI
Active · expires Dec 5, 2027
CLIA Number52D0994173
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorMissy Bloomhuff
Laboratory Phone(262) 644-5926
Laboratory LocationAutumn Oaks227 E Washington St, Slinger, WI 53086
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OSL 227 SLINGER OPERATING LLC
Assisted Living Facility
227 E WASHINGTON ST
SLINGER, WI 53086
Washington County (262) 644-5926

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 Autumn Oaks Platinum LLC's NPI number?

The NPI number for Autumn Oaks Platinum LLC is 1679193429. It was assigned to this organization in the NPPES registry on April 22, 2020. The provider is doing business as Autumn Oaks.

Where is Autumn Oaks Platinum LLC located?

Autumn Oaks Platinum LLC is located at 227 E Washington St, Slinger, WI 53086. The listed phone number is (262) 644-5926.

What is Autumn Oaks Platinum LLC's specialty?

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

Does Autumn Oaks Platinum LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0994173) is associated with this NPI, valid through December 5, 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 Autumn Oaks Platinum LLC was last updated on April 22, 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.