Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beaver Dam Al Operations LLC

Organization Assisted Living Facility · NPI 1790497907

Beaver Dam Al Operations LLC is an Assisted Living Facility in Beaver Dam, Wisconsin. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 Fakes Ct
Beaver Dam, WI 53916-2699
Phone: (773) 825-3336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 129 Evergreen Cir, Beaver Dam, WI 53916-3512 — (773) 825-3336

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1790497907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anya Vistman — Gc · (773) 825-3336
NPI enumeratedDecember 19, 2022
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022
Mailing address8170 McCormick Blvd Ste 112, Skokie, IL 60076-2914

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