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Lakeshore Manor Memory Care LLC

Nursing Home Administrator in Oshkosh, WI · enumerated 2021 · authorized official Anya Vistman, Corp Counsel.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699350397

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Registry record

Entity type Organization (Type 2)

Legal business name Lakeshore Manor Memory Care LLC

Practice address 711 Bay Shore Dr, Oshkosh, WI, 54901

Phone (920) 393-3871

Enumeration date Mar 14, 2021

Last updated in NPPES Mar 14, 2021

Taxonomy & classification

376G00000X Nursing Home Administrator Nursing Service Related Providers Primary

Authorized official

Name Anya Vistman

Title Corp Counsel

Phone (773) 819-2190

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Lakeshore Manor Memory Care LLC?

Lakeshore Manor Memory Care LLC is registered in NPPES as a Nursing Home Administrator (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Lakeshore Manor Memory Care LLC Assisted Living Facility · Oshkosh, WI NPI 1417532110

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-14.