Pine Grove Senior Living LLC
NPI 1245059864 · Assisted Living Facility · Green Bay, WI
Pine Grove Senior Living LLC is a Assisted Living Facility organization in Green Bay, WI (NPI 1245059864).
Provider details
- NPI number
- 1245059864
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Amber Tueller, Secretary(208) 207-2726
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Blue Jay Springs Senior Living and Memory Care
Registry dates
- Enumerated
- 2024-10-09
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Frequently asked questions
- What is Pine Grove Senior Living LLC's NPI number?
- Pine Grove Senior Living LLC's National Provider Identifier (NPI) is 1245059864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Grove Senior Living LLC?
- Pine Grove Senior Living LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Pine Grove Senior Living LLC located?
- Pine Grove Senior Living LLC's practice location on file with NPPES is 1006 N Military Ave, Green Bay, WI 54303-4412.
- What is Pine Grove Senior Living LLC's phone number?
- The practice phone number listed in the NPPES registry for Pine Grove Senior Living LLC is (920) 499-1119.
- Who is the authorized official for Pine Grove Senior Living LLC?
- The authorized official listed on Pine Grove Senior Living LLC's NPPES record is Amber Tueller, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Grove Senior Living LLC's NPI active?
- Yes — Pine Grove Senior Living LLC's NPI (1245059864) is active in the NPPES registry as of the last update on 2025-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.