LAKESHORE MANOR MEMORY CARE LLC
NPI 1699350397
Nursing Home Administrator in Oshkosh, WI

Q: What is Lakeshore Manor Memory Care LLC's NPI number?

The NPI number for Lakeshore Manor Memory Care LLC is 1699350397. It was assigned to this organization in the NPPES registry on March 14, 2021.

Q: What is Lakeshore Manor Memory Care LLC's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

Active since March 14, 2021

711 BAY SHORE DR, OSHKOSH, WI 54901(920) 393-3871 Get Directions Write a Review

NPPES record last updated: March 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Lakeshore Manor Memory Care Llc NPPES

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

LAKESHORE MANOR MEMORY CARE LLC (NPI 1699350397) is a healthcare organization registered as a nursing home administrator in Oshkosh, Wisconsin and active in the NPI registry since March 2021. The organization lists Anya Vistman, Corp Counsel, as its authorized official.

NPPES Registry Identity

NPI1699350397

Entity TypeOrganization

Primary Taxonomy376G00000X

Legal Business NameLAKESHORE MANOR MEMORY CARE LLC

Location Address711 BAY SHORE DROshkosh, WI 54901-5218

Mailing Address8170 Mccormick Blvd Ste 112Skokie, IL 60076-2914 · (773) 819-2190

Phone(920) 393-3871

Organization SubpartNo

Authorized OfficialAnya VistmanCorp Counsel · (773) 819-2190

Enumeration DateMarch 14, 2021

NPPES CertifiedMarch 14, 2021

✔ NPI 1699350397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Home AdministratorNursing Service Related Providers

Taxonomy Code376G00000X

Definition

An individual, often licensed by the state, who is responsible for the management of a nursing home.

711 BAY SHORE DR, Oshkosh, WI 54901

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

LAKESHORE MANOR MEMORY CARE LLC

Assisted Living Facility

711 BAY SHORE DR
OSHKOSH, WI 54901

Winnebago County (920) 393-3871

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 Lakeshore Manor Memory Care LLC's NPI number?

The NPI number for Lakeshore Manor Memory Care LLC is 1699350397. It was assigned to this organization in the NPPES registry on March 14, 2021.

Where is Lakeshore Manor Memory Care LLC located?

Lakeshore Manor Memory Care LLC is located at 711 Bay Shore Dr, Oshkosh, WI 54901. The listed phone number is (920) 393-3871.

What is Lakeshore Manor Memory Care LLC's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

When was this NPI record last updated?

The NPPES record for Lakeshore Manor Memory Care LLC was last updated on March 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.