GREAT LAKES HEALTHCARE, INC.
NPI 1922898360
Hospice Care, Community Based in Mount Pleasant, WI
About Great Lakes Healthcare, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT LAKES HEALTHCARE, INC. (NPI 1922898360), doing business as Preceptor Hospice South, is a healthcare organization registered as a hospice care, community based in Mount Pleasant, Wisconsin and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Amber L Tueller, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 52D2330433
Great Lakes Healthcare, Inc Dba Preceptor Hospice South · Mount Pleasant, WIFrequently 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 Great Lakes Healthcare, Inc.'s NPI number?
The NPI number for Great Lakes Healthcare, Inc. is 1922898360. It was assigned to this organization in the NPPES registry on May 8, 2025. The provider is doing business as Preceptor Hospice South.
Where is Great Lakes Healthcare, Inc. located?
Great Lakes Healthcare, Inc. is located at 6211 Durand Ave Ste 102, Mount Pleasant, WI 53406. The listed phone number is (262) 381-3931.
What is Great Lakes Healthcare, Inc.'s specialty?
The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.
Does Great Lakes Healthcare, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2330433) is associated with this NPI, valid through September 15, 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 Great Lakes Healthcare, Inc. was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Great Lakes Healthcare, Inc. · NPI 1922898360
Hospice Care, Community Based organization in Mount Pleasant, Wisconsin. Organization record, active in the CMS NPPES registry since May 8, 2025.
## Identity
- **NPI:** 1922898360 (Entity type: Organization)
- **Enumerated:** May 8, 2025
- **Primary specialty:** Hospice Care, Community Based · taxonomy 251G00000X
- **Also known as:** Preceptor Hospice South (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Amber Tueller, SECRETARY
## Practice location
- **Address:** 6211 DURAND AVE STE 102, Mount Pleasant, WI 53406-4956
- **Phone:** (262) 381-3931
## Record status
- **NPPES last updated:** March 23, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922898360) · Data from the CMS NPPES public registry.