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SHAWANO PLACE
NPI 1902735251
Assisted Living Facility in Shawano, WI

Active since May 14, 2026CLIA 52D2149301 · Waiver
1088 ENGEL DR, SHAWANO, WI 54166(312) 462-4462 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shawano Place NPPES

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

SHAWANO PLACE (NPI 1902735251) is a healthcare organization registered as an assisted living facility in Shawano, Wisconsin and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through May 30, 2028 and lists Thomas M Ostrom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902735251
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSHAWANO PLACE
Location Address1088 ENGEL DRShawano, WI 54166-3746
Mailing Address230 W Monroe St Ste 710Chicago, IL 60606-4702 · (312) 462-4462
Phone(312) 462-4462
Organization SubpartNo
Authorized OfficialThomas M OstromCeo · (312) 623-0884
Enumeration DateMay 14, 2026
NPPES CertifiedMay 14, 2026
✔ NPI 1902735251 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.
1088 ENGEL DR, Shawano, WI 54166
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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 52D2149301

Shawano Place · Shawano, WI
Active · expires May 30, 2028
CLIA Number52D2149301
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 31, 2026
Certificate Expiration DateMay 30, 2028
Laboratory DirectorJoanne M. Ochowicz
Laboratory Phone(715) 526-9835
Laboratory LocationShawano Place1088 Engel Drive, Shawano, WI 54166
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Shawano Place's NPI number?

The NPI number for Shawano Place is 1902735251. It was assigned to this organization in the NPPES registry on May 14, 2026.

Where is Shawano Place located?

Shawano Place is located at 1088 Engel Dr, Shawano, WI 54166. The listed phone number is (312) 462-4462.

What is Shawano Place's specialty?

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

Does Shawano Place hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2149301) is associated with this NPI, valid through May 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shawano Place was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.