Beaver Dam Assisted Living, LLC
NPI 1265090559 · Assisted Living Facility · Beaver Dam, WI
Beaver Dam Assisted Living, LLC is a Assisted Living Facility organization in Beaver Dam, WI (NPI 1265090559).
Provider details
- NPI number
- 1265090559
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Barbara Bittner, Coo(920) 378-1913
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Alzheimer Center (Dementia Center)311500000X
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
- Beaver Dam Assisted Living and Memory Care
- Doing business as
- Beaver Dam Assisted Living and Memory Care
Additional practice locations (1)
- 129 Evergreen CirBeaver Dam, WI 53916-3512Phone: (920) 356-9818
Registry dates
- Enumerated
- 2019-05-31
- Last updated
- 2020-07-03
- Certified
- 2020-07-03
Frequently asked questions
- What is Beaver Dam Assisted Living, LLC's NPI number?
- Beaver Dam Assisted Living, LLC's National Provider Identifier (NPI) is 1265090559, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beaver Dam Assisted Living, LLC?
- Beaver Dam Assisted Living, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Beaver Dam Assisted Living, LLC located?
- Beaver Dam Assisted Living, LLC's practice location on file with NPPES is 104 Fakes Ct, Beaver Dam, WI 53916-2699.
- What is Beaver Dam Assisted Living, LLC's phone number?
- The practice phone number listed in the NPPES registry for Beaver Dam Assisted Living, LLC is (920) 356-9818.
- Who is the authorized official for Beaver Dam Assisted Living, LLC?
- The authorized official listed on Beaver Dam Assisted Living, LLC's NPPES record is Barbara Bittner, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beaver Dam Assisted Living, LLC's NPI active?
- Yes — Beaver Dam Assisted Living, LLC's NPI (1265090559) is active in the NPPES registry as of the last update on 2020-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.