Moraine Ridge LLC
NPI 1053282020ActiveOrganization· Assisted Living Facility· Green Bay, WI
Assisted Living Facility in Green Bay, Wisconsin, registered in NPPES in September 2025, part of Moraine Ridge LLC. The authorized official on file is Lorrie Ann Ryczek, Regional Director.
Overview
| NPI | 1053282020 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Moraine Ridge LLC |
| NPI issued | Sep 15, 2025 |
| Last updated in NPPES | Sep 15, 2025 |
| Certified by provider | Sep 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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