Provider Demographics
NPI:1265668354
Name:SILVER VIEW LLC
Entity Type:Organization
Organization Name:SILVER VIEW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TERESINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-470-5388
Mailing Address - Street 1:W300S10418 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:MUKWONAGO
Mailing Address - State:WI
Mailing Address - Zip Code:53149-9149
Mailing Address - Country:US
Mailing Address - Phone:262-719-0421
Mailing Address - Fax:
Practice Address - Street 1:9215 W SILVER SPRING DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53225-5502
Practice Address - Country:US
Practice Address - Phone:414-461-2033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI0012742310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility