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

Beaver Dam Assisted Living, LLC

Organization Assisted Living Facility · NPI 1265090559

Beaver Dam Assisted Living, LLC is an Assisted Living Facility in Beaver Dam, Wisconsin. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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: (920) 356-9818
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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 — (920) 356-9818

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X
Alzheimer Center (Dementia Center) Taxonomy 311500000X

Record details

NPI number1265090559
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Bittner — Coo · (920) 378-1913
Other names Beaver Dam Assisted Living And Memory Care; Beaver Dam Assisted Living And Memory Care
NPI enumeratedMay 31, 2019
Last updated in NPPESJuly 3, 2020
Certification dateJuly 3, 2020
Mailing address5555 W Grande Market Dr Ste A, Appleton, WI 54913-8170

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