GREEN BAY SENIOR LIVING, INC.
NPI 1881078020
Assisted Living Facility in Green Bay, WI

Active since July 17, 2015
1450 S MILITARY AVE, GREEN BAY, WI 54304(920) 499-8838(920) 499-8972 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2025, Jan 22, 2020, Oct 11, 2019 (3 updates tracked since 2019).

About Green Bay Senior Living, Inc. NPPES

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

GREEN BAY SENIOR LIVING, INC. (NPI 1881078020), doing business as Cottonwood Manor Assisted Living, is a healthcare organization registered as an assisted living facility in Green Bay, Wisconsin and active in the NPI registry since July 2015. The organization lists Amber L Tueller, Secretary, as its authorized official.

NPPES Registry Identity

NPI1881078020
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGREEN BAY SENIOR LIVING, INC.
Location Address1450 S MILITARY AVEGreen Bay, WI 54304-3000
Mailing Address1450 S Military AveGreen Bay, WI 54304-3000 · (920) 499-8838 · Fax (920) 499-8972
Fax(920) 499-8972
Organization SubpartNo
Authorized OfficialAmber L TuellerSecretary · (208) 207-2726
Enumeration DateJuly 17, 2015
Last NPPES UpdateJune 11, 20253 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
NPI 1881078020 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.
1450 S MILITARY AVE, Green Bay, WI 54304

Other Names 1

Doing Business AsCottonwood Manor Assisted Living

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 Green Bay Senior Living, Inc.'s NPI number?

The NPI number for Green Bay Senior Living, Inc. is 1881078020. It was assigned to this organization in the NPPES registry on July 17, 2015. The provider is doing business as Cottonwood Manor Assisted Living.

Where is Green Bay Senior Living, Inc. located?

Green Bay Senior Living, Inc. is located at 1450 S Military Ave, Green Bay, WI 54304. The listed phone number is (920) 499-8838.

What is Green Bay Senior Living, Inc.'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 Green Bay Senior Living, Inc. was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.