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

Mellen Manor LLC

Organization Skilled Nursing Facility · NPI 1669403499

Mellen Manor LLC is a Skilled Nursing Facility in Mellen, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
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

450 Lake Dr
Mellen, WI 54546-9750
Phone: (715) 274-5706
Fax: (715) 274-2702
Show map & directions

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 314000000X (WI)

Record details

NPI number1669403499
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathon Hansen — Ceo · (320) 828-7310
Other names Mellen Manor; Mellen Manor
NPI enumeratedJuly 6, 2006
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020
Mailing address450 Lake Dr, Mellen, WI 54546-9750