Kettle Park Senior Living Inc
NPI 1649821661 · Assisted Living Facility · Stoughton, WI
Kettle Park Senior Living Inc is a Assisted Living Facility organization in Stoughton, WI (NPI 1649821661).
Provider details
- NPI number
- 1649821661
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tricia Lies, Director of Financial Services(952) 888-2923
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
6 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
Other names (DBA / former)
- Doing business as
- Kettle Park Senior Living
Registry dates
- Enumerated
- 2019-09-20
- Last updated
- 2019-09-20
Frequently asked questions
- What is Kettle Park Senior Living Inc's NPI number?
- Kettle Park Senior Living Inc's National Provider Identifier (NPI) is 1649821661, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kettle Park Senior Living Inc?
- Kettle Park Senior Living Inc is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Kettle Park Senior Living Inc located?
- Kettle Park Senior Living Inc's practice location on file with NPPES is 2600 Jackson St, Stoughton, WI 53589-9142.
- What is Kettle Park Senior Living Inc's phone number?
- The practice phone number listed in the NPPES registry for Kettle Park Senior Living Inc is (608) 579-5601.
- Who is the authorized official for Kettle Park Senior Living Inc?
- The authorized official listed on Kettle Park Senior Living Inc's NPPES record is Tricia Lies, Director of Financial Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kettle Park Senior Living Inc's NPI active?
- Yes — Kettle Park Senior Living Inc's NPI (1649821661) is active in the NPPES registry as of the last update on 2019-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.