NPIMap

Organization Active NPI

Life Care Centers of America

  • Skilled Nursing Facility
  • Louisville, KY
National Provider Identifier
1114135332
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
31004255A Issued in IN
Legal business name
LIFE CARE CENTERS OF AMERICA
Practice address
304 Wilma Ave TRLR 177
Louisville, KY 40229-6632
Phone
(502) 523-4387
NPI assigned
May 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Leslie Ann Mann, OTR
Title
Occupational Therapist
Phone
(812) 945-2341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 31004255A IN Primary

Addresses

Primary practice location

304 Wilma Ave TRLR 177
Louisville, KY 40229-6632

Mailing address

304 Wilma Ave TRLR 177
Louisville, KY 40229-6632
Phone (502) 523-4387

National Provider Directory

National Provider Directory
Tax ID family
Consolidated Resources Health Care Fund I LP12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1114135332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WILMA AVE TRLR 177",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402296632",
            "telephone_number": "502-523-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 WILMA AVE TRLR 177",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402296632",
            "telephone_number": "502-523-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE CENTERS OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "812-945-2341",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "31004255A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.