Healthcare Provider Details

I. General information

NPI: 1952256364
Provider Name (Legal Business Name): APPLETON RETIREMENT OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W PACKARD ST
APPLETON WI
54911-6700
US

IV. Provider business mailing address

3520 E RIVER RD NE
ROCHESTER MN
55906-5407
US

V. Phone/Fax

Practice location:
  • Phone: 920-954-9990
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JORDAN RYAN
Title or Position: VP BUSINESS STRATEGY
Credential:
Phone: 507-251-6356