Organization Active NPI

Lifewaycare Inc

  • Skilled Nursing Facility
  • Maplewood, MN
National Provider Identifier
1154258028
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LIFEWAYCARE INC
Practice address
1681 County Road C E
Maplewood, MN 55109-1193
Phone
(612) 366-9066
Fax
(612) 662-4175
NPI assigned
May 6, 2026
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFEWAYCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Emmanuel Aguda
Title
President
Phone
(612) 366-9066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1681 County Road C E
Maplewood, MN 55109-1193

Mailing address

4730 W 129TH St
Savage, MN 55378-1514
Phone (612) 366-9066

National Provider Directory

National Provider Directory
Tax ID family
Lifewaycare Inc2 organizations share this tax ID, including this one
Part of
Lifewaycare Inc

Other organizations with this tax ID 1

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": "1778025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1154258028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 W 129TH ST",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553781514",
            "telephone_number": "612-366-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 COUNTY ROAD C E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091193",
            "telephone_number": "612-366-9066",
            "fax_number": "612-662-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWAYCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFEWAYCARE INC",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "AGUDA",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-366-9066"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.