Lakeshore Manor Memory Care LLC
NPI 1417532110 · Assisted Living Facility · Oshkosh, WI
Lakeshore Manor Memory Care LLC is a Assisted Living Facility organization in Oshkosh, WI (NPI 1417532110).
Provider details
- NPI number
- 1417532110
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Anya Vistman, Counsel(773) 819-2190
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
5 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
Mailing address
Registry dates
- Enumerated
- 2021-03-14
- Last updated
- 2021-03-14
- Certified
- 2021-03-14
Frequently asked questions
- What is Lakeshore Manor Memory Care LLC's NPI number?
- Lakeshore Manor Memory Care LLC's National Provider Identifier (NPI) is 1417532110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeshore Manor Memory Care LLC?
- Lakeshore Manor Memory Care LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Lakeshore Manor Memory Care LLC located?
- Lakeshore Manor Memory Care LLC's practice location on file with NPPES is 711 Bay Shore Dr, Oshkosh, WI 54901-5218.
- What is Lakeshore Manor Memory Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeshore Manor Memory Care LLC is (920) 393-3871.
- Who is the authorized official for Lakeshore Manor Memory Care LLC?
- The authorized official listed on Lakeshore Manor Memory Care LLC's NPPES record is Anya Vistman, Counsel. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeshore Manor Memory Care LLC's NPI active?
- Yes — Lakeshore Manor Memory Care LLC's NPI (1417532110) is active in the NPPES registry as of the last update on 2021-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.