Beaver Dam Al Operations LLC
NPI 1790497907ActiveOrganization· Assisted Living Facility· Beaver Dam, WI
Assisted Living Facility in Beaver Dam, Wisconsin, registered in NPPES in December 2022. The authorized official on file is Anya Vistman, Gc.
Overview
| NPI | 1790497907 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2022 |
| Last updated in NPPES | Dec 19, 2022 |
| Certified by provider | Dec 19, 2022 |
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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