Organization · Type 2 NPI
Great Lakes Care LLC
Adult Care Home Facility · Appleton, WI
NPI number
1639075880
Active
Practice location
3091 N Casaloma Dr Apt 225
Appleton, WI 54913-9066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility | 310400000X | None listed |
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in Appleton
About NPI 1639075880
Great Lakes Care LLC's National Provider Identifier is 1639075880, issued on Oct 15, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Appleton, WI. The record was last updated on Oct 15, 2026.