Beaver Dam Al Operations LLC
NPI 1790497907 · Assisted Living Facility · Beaver Dam, WI
Beaver Dam Al Operations LLC is a Assisted Living Facility organization in Beaver Dam, WI (NPI 1790497907).
Provider details
- NPI number
- 1790497907
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Anya Vistman, Gc(773) 825-3336
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
3 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
Additional practice locations (1)
- 129 Evergreen CirBeaver Dam, WI 53916-3512Phone: (773) 825-3336
Registry dates
- Enumerated
- 2022-12-19
- Last updated
- 2022-12-19
- Certified
- 2022-12-19
Frequently asked questions
- What is Beaver Dam Al Operations LLC's NPI number?
- Beaver Dam Al Operations LLC's National Provider Identifier (NPI) is 1790497907, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beaver Dam Al Operations LLC?
- Beaver Dam Al Operations LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Beaver Dam Al Operations LLC located?
- Beaver Dam Al Operations LLC's practice location on file with NPPES is 104 Fakes Ct, Beaver Dam, WI 53916-2699.
- What is Beaver Dam Al Operations LLC's phone number?
- The practice phone number listed in the NPPES registry for Beaver Dam Al Operations LLC is (773) 825-3336.
- Who is the authorized official for Beaver Dam Al Operations LLC?
- The authorized official listed on Beaver Dam Al Operations LLC's NPPES record is Anya Vistman, Gc. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beaver Dam Al Operations LLC's NPI active?
- Yes — Beaver Dam Al Operations LLC's NPI (1790497907) is active in the NPPES registry as of the last update on 2022-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.