Organization Active NPI

Lifeable Care LLC

  • Home Health Agency
  • Portage, WI
National Provider Identifier
1245135797
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFEABLE CARE LLC
Practice address
311 E Wisconsin St Ste 107
Portage, WI 53901-2455
Phone
(612) 701-2731
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Mohamed Mohamed, MANAGER
Title
Manager
Phone
(612) 701-2731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

311 E Wisconsin St Ste 107
Portage, WI 53901-2455

Mailing address

311 E Wisconsin St Ste 107
Portage, WI 53901-2455
Phone (612) 701-2731

NPI Registry JSON

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1245135797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E WISCONSIN ST STE 107",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539012455",
            "telephone_number": "612-701-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E WISCONSIN ST STE 107",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539012455",
            "telephone_number": "612-701-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEABLE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-701-2731",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.