FITCHBURG ASSISTED LIVING – NPI #1770424251
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Health Care Provider Taxonomy Code for Assisted Living Facility

FITCHBURG ASSISTED LIVING is an assisted living facility located in FITCHBURG, WI. NPPES recently assigned the NPI number 1770424251 to FITCHBURG ASSISTED LIVING on April 01, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FITCHBURG ASSISTED LIVING below.

NPI Profile for
FITCHBURG ASSISTED LIVING

NPI Number
1770424251
Enumeration Date

(about 2 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FITCHBURG ASSISTED LIVING
Primary location
5669 WILSHIRE DR
FITCHBURG, WI 53711-5386
Phone: (608) 820-2980 Fax:
Mailing address
230 W MONROE ST STE 710
CHICAGO, IL 60606-4702
Phone: (312) 623-0884 Fax:
Organization Subpart
No
Authorized Official
THOMAS OSTROM
PRESIDENT
Phone: (312) 623-0884
Updated
Certification Date
Apr 01, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
310400000X
- Assisted Living Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.