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

Lakeshore Manor Memory Care LLC

Organization Assisted Living Facility · NPI 1417532110

Lakeshore Manor Memory Care LLC is an Assisted Living Facility in Oshkosh, Wisconsin. Registered with an NPI since 2021.

In the registry since
2021
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

711 Bay Shore Dr
Oshkosh, WI 54901-5218
Phone: (920) 393-3871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1417532110
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anya Vistman — Counsel · (773) 819-2190
NPI enumeratedMarch 14, 2021
Last updated in NPPESMarch 14, 2021
Certification dateMarch 14, 2021
Mailing address8170 McCormick Blvd Ste 112, Skokie, IL 60076-2914

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