Ehf Lake Country SNF Op LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EHF LAKE COUNTRY SNF OP LLC

Doing business as

Lake Country Health and Rehabilitation Center

Practice address

111 W Michigan St
Milwaukee, WI 53203-2903

Phone

(414) 908-8119

Fax

(414) 908-7105

NPI assigned

Aug 6, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Donna J Thiel

Title

Director of Compliance

Phone

(414) 908-8119

Specialties & licenses 1

Addresses

Other names 1

• Lake Country Health and Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1194956284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 N SUMMIT VILLAGE WAY",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530668675",
            "telephone_number": "877-255-0096",
            "fax_number": "262-567-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W MICHIGAN ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532032903",
            "telephone_number": "414-908-8119",
            "fax_number": "414-908-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHF LAKE COUNTRY SNF OP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "THIEL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "414-908-8119",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Country Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raven Eggson
• Julia Elizabeth Egly, LPC-IT
• Egria Medical Logistics, LLC
• Egria Medical Logistics, LLC
• Gloria Lee Ehardt, LCSW
• Ehf Sunrise Op, LLC (Sunrise Care Center)
• Mark Ehioghae, MS
• James L Ehlers, APNP
• Mark Ehlers
• Carey A Ehlert, MD

• Skilled Nursing Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.