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

Lakeshore Manor Memory Care LLC

Organization Nursing Home Administrator · NPI 1699350397

Lakeshore Manor Memory Care LLC is a Nursing Home Administrator 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.

See every abbreviation used in this directory →

Practice location Address checks out

711 Bay Shore Dr
Oshkosh, WI 54901-5218
Phone: (920) 393-3871
Show map & directions

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

Specialties & licences

Nursing Home Administrator (primary) Taxonomy 376G00000X

Record details

NPI number1699350397
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anya Vistman — Corp 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