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

Chp Shorewood Wi Tenant Corp

Organization Assisted Living Facility · NPI 1164965257

Chp Shorewood Wi Tenant Corp is an Assisted Living Facility in Shorewood, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1111 E Capitol Dr
Shorewood, WI 53211-1810
Phone: (414) 436-0311
Fax: (414) 436-0312
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 0015905 (WI)

Record details

NPI number1164965257
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Mitchell — Cfo Of Manager · (772) 492-5002
Other names Harborchase Of Shorewood
NPI enumeratedNovember 22, 2016
Last updated in NPPESNovember 22, 2016
Mailing address1440 Highway A1a, Vero Beach, FL 32963-2310