SILVER LEAF MANOR
NPI 1952592065
Assisted Living Facility in Kewaunee, WI

Active since August 05, 2007CLIA 52D2201147 · Waiver
1310 LINCOLN ST, KEWAUNEE, WI 54216(920) 388-2204(920) 388-2202 Get Directions Write a Review

NPPES record last updated: August 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Silver Leaf Manor NPPES

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

SILVER LEAF MANOR (NPI 1952592065) is a healthcare organization registered as an assisted living facility in Kewaunee, Wisconsin and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through November 18, 2026 and lists Kenneth J Secor, Owner, as its authorized official.

NPPES Registry Identity

NPI1952592065
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKENNETH J & MARILYN M SECOR
Location Address1310 LINCOLN STKewaunee, WI 54216-1606
Mailing Address1310 Lincoln StKewaunee, WI 54216-1606 · (920) 388-2204 · Fax (920) 388-2202
Fax(920) 388-2202
Organization SubpartNo
Authorized OfficialKenneth J SecorOwner · (920) 388-2204
Enumeration DateAugust 5, 2007
NPI 1952592065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in WI · 410310
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.
1310 LINCOLN ST, Kewaunee, WI 54216

Other Names 1

Doing Business AsSilver Leaf Manor

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 52D2201147

Silver Leaf Manor · Kewaunee, WI
Active · expires Nov 18, 2026
CLIA Number52D2201147
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorMr. Kenneth J. Secor
Laboratory Phone(920) 388-2204
Laboratory LocationSilver Leaf Manor1310 Lincoln St, Kewaunee, WI 54216
CLIA data matches this NPI record on: Address Name Phone
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 Kenneth J & Marilyn M Secor's NPI number?

The NPI number for Kenneth J & Marilyn M Secor is 1952592065. It was assigned to this organization in the NPPES registry on August 5, 2007. The provider is doing business as Silver Leaf Manor.

Where is Kenneth J & Marilyn M Secor located?

Kenneth J & Marilyn M Secor is located at 1310 Lincoln St, Kewaunee, WI 54216. The listed phone number is (920) 388-2204.

What is Kenneth J & Marilyn M Secor's specialty?

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

Does Kenneth J & Marilyn M Secor hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2201147) is associated with this NPI, valid through November 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kenneth J & Marilyn M Secor was last updated on August 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.