OrganizationActive
Lancaster Manor
NPI 1679892236 · Assisted Living Facility · Green Bay, WI
Lancaster Manor is a Assisted Living Facility organization in Green Bay, WI (NPI 1679892236).
Provider details
- NPI number
- 1679892236
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Katherine Tegen, Manager(920) 378-5839
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1016 N Military Ave
Green Bay, WI 54303-4412
Phone: (920) 405-0632
Fax: (920) 499-1191
Street-level locationGet directions
Mailing address
W3124 Van Roy Rd
Appleton, WI 54915-3982
Other names (DBA / former)
- Doing business as
- Marla Vista Gardens Memory Care of Green Bay, LLC
Registry dates
- Enumerated
- 2010-05-21
- Last updated
- 2010-05-21
Frequently asked questions
- What is Lancaster Manor's NPI number?
- Lancaster Manor's National Provider Identifier (NPI) is 1679892236, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lancaster Manor?
- Lancaster Manor is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Lancaster Manor located?
- Lancaster Manor's practice location on file with NPPES is 1016 N Military Ave, Green Bay, WI 54303-4412.
- What is Lancaster Manor's phone number?
- The practice phone number listed in the NPPES registry for Lancaster Manor is (920) 405-0632.
- Who is the authorized official for Lancaster Manor?
- The authorized official listed on Lancaster Manor's NPPES record is Katherine Tegen, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lancaster Manor's NPI active?
- Yes — Lancaster Manor's NPI (1679892236) is active in the NPPES registry as of the last update on 2010-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.