Lifenet, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

335 Issued in WI

Legal business name

LIFENET, LLC

Practice address

800 Wisconsin St Ste 305
Eau Claire, WI 54703-3588

Phone

(715) 835-4111

Fax

(715) 835-4359

NPI assigned

Oct 3, 2007

Last updated

Sep 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey George Freslin

Title

President

Phone

(715) 835-4111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1437346434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1081",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54702",
            "telephone_number": "715-835-4111",
            "fax_number": "715-835-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WISCONSIN ST STE 305",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547033588",
            "telephone_number": "715-835-4111",
            "fax_number": "715-835-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFENET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "FRESLIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-835-4111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43108100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Lewis
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• Home Health Agency in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.