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

Province Terrace Villas Long CT LLC

Organization Assisted Living Facility · NPI 1427387661

Province Terrace Villas Long CT LLC is an Assisted Living Facility in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2009.

Licensed in
WI
In the registry since
2009
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

5216 Long Ct
Appleton, WI 54914
Phone: (920) 257-2573
Fax: (920) 882-0295
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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 · Licence 0012777 (WI)

Record details

NPI number1427387661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roxanne Reeves — Administrator · (920) 257-2573
NPI enumeratedDecember 17, 2009
Last updated in NPPESDecember 17, 2009
Mailing address5216 Long Ct, Appleton, WI 54914-9111

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