Organization Active NPI

Lifekeepers, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Portage, WI
National Provider Identifier
1467295782
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
LIFEKEEPERS, INC.
Practice address
N6706 Old River Rd
Portage, WI 53901-9522
Phone
(608) 742-2788
NPI assigned
Jun 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Thomas Augustine
Title
President and Ceo
Phone
(608) 697-5987

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary
Physical Disabilities Residential Treatment Facility 320700000X
Mental Illness Community Based Residential Treatment Facility 320800000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

N6706 Old River Rd
Portage, WI 53901-9522

Mailing address

515 Washington St Ste a
Portage, WI 53901-2442
Phone (608) 745-9004

Other practice location 1

W10056 Hwy 16
Portage, WI 53901-9454
Phone (608) 424-3607

Other practice location 2

727 E Edgewater St
Portage, WI 53901-2318
Phone (608) 566-1220

Other practice location 3

W8438 Foote Dr
Portage, WI 53901-9784
Phone (608) 566-1167

Other practice location 4

W7287 Dakota Dr
Westfield, WI 53964-8652
Phone (608) 296-4300

Other practice location 5

516 W Oneida St
Portage, WI 53901-1667
Phone (608) 566-1290

National Provider Directory

National Provider Directory

Locations

515 Washington St
Ste A
Portage, WI 53901

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1467295782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 WASHINGTON ST STE A",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539012442",
            "telephone_number": "608-745-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N6706 OLD RIVER RD",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019522",
            "telephone_number": "608-742-2788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W10056 Hwy 16",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "WI",
            "postal_code": "539019454",
            "country_code": "US",
            "telephone_number": "608-424-3607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "727 E Edgewater St",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "WI",
            "postal_code": "539012318",
            "country_code": "US",
            "telephone_number": "608-566-1220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "W8438 Foote Dr",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "WI",
            "postal_code": "539019784",
            "country_code": "US",
            "telephone_number": "608-566-1167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "W7287 Dakota Dr",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "WI",
            "postal_code": "539648652",
            "country_code": "US",
            "telephone_number": "608-296-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "516 W Oneida St",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "WI",
            "postal_code": "539011667",
            "country_code": "US",
            "telephone_number": "608-566-1290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFEKEEPERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "AUGUSTINE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "608-697-5987"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 14, 2024; 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.