Louise B., LLC.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3185 Issued in WI

Legal business name

LOUISE B., LLC.

Doing business as

Glencare Rehab & Living Center

Practice address

1633 W Bender Rd
Glendale, WI 53209-3801

Phone

(312) 705-2000

Fax

(317) 245-2510

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia Rene Roth

Title

Controller

Phone

(317) 557-1190

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Glencare Rehab & Living Center Doing business as

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1386883502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 W BENDER RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532093801",
            "telephone_number": "312-705-2000",
            "fax_number": "317-245-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 W BENDER RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532093801",
            "telephone_number": "312-705-2000",
            "fax_number": "317-245-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISE B., LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "317-557-1190",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20182800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glencare Rehab & Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daizy Ann Liskowitz, PC
• Alexis Lockett-Glover, M.S., LPC-IT, NCC
• Alyssa Lombardi, DPT
• George N Lor
• Carrie L Losin, LCSW
• Emma Low, LPC
• Alma Ludwig, PHARM.D.
• Luminous Home Care LLC
• Lumos Wellness, LLC
• Suzanne Lundy, PT

• Skilled Nursing Facility in Glendale, WI
• Providers in Glendale, 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 Feb 11, 2009; 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.