OrganizationActive
Mystic Creek, LLC
NPI 1356700025 · Assisted Living Facility · Viola, WI
Provider details
- NPI number
- 1356700025
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Diane Cook, Owner(608) 538-3781
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs 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
12489 State Highway 56
Viola, WI 54664-8914
Phone: (608) 538-3781
Fax: (608) 538-3782
Street-level locationGet directions
Mailing address
17969 Wilson Springs Rd
Richland Center, WI 53581-8588
Registry dates
- Enumerated
- 2016-02-23
- Last updated
- 2026-01-22
- Certified
- 2026-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.