MARLA VISTA GARDENS MEMORY CARE OF GREEN BAY, LLC
NPI 1679892236
Assisted Living Facility in Green Bay, WI

Q: What is Lancaster Manor's NPI number?

The NPI number for Lancaster Manor is 1679892236. It was assigned to this organization in the NPPES registry on May 21, 2010. The provider is doing business as Marla Vista Gardens Memory Care Of Green Bay, LLC.

Q: What is Lancaster Manor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lancaster Manor was last updated on May 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 21, 2010

1016 N MILITARY AVE, GREEN BAY, WI 54303(920) 405-0632(920) 499-1191 Get Directions Write a Review

NPPES record last updated: May 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Marla Vista Gardens Memory Care Of Green Bay, Llc NPPES

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

MARLA VISTA GARDENS MEMORY CARE OF GREEN BAY, LLC (NPI 1679892236) is a healthcare organization registered as an assisted living facility in Green Bay, Wisconsin and active in the NPI registry since May 2010. The organization lists Katherine R Tegen, Manager, as its authorized official.

NPPES Registry Identity

NPI1679892236

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameLANCASTER MANOR

Location Address1016 N MILITARY AVEGreen Bay, WI 54303-4412

Mailing AddressW3124 Van Roy RdAppleton, WI 54915-3982 · (920) 574-3833 · Fax (920) 574-3850

Phone(920) 405-0632

Fax(920) 499-1191

Organization SubpartNo

Authorized OfficialKatherine R TegenManager · (920) 378-5839

Enumeration DateMay 21, 2010

✔ NPI 1679892236 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.

1016 N MILITARY AVE, Green Bay, WI 54303

Open in Google Maps ↗

Other Names 1

Doing Business AsMarla Vista Gardens Memory Care Of Green Bay, Llc

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 Lancaster Manor's NPI number?

The NPI number for Lancaster Manor is 1679892236. It was assigned to this organization in the NPPES registry on May 21, 2010. The provider is doing business as Marla Vista Gardens Memory Care Of Green Bay, LLC.

Where is Lancaster Manor located?

Lancaster Manor is located at 1016 N Military Ave, Green Bay, WI 54303. The listed phone number is (920) 405-0632.

What is Lancaster Manor'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 Lancaster Manor was last updated on May 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.