Active NPI
Lifekeepers, Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Portage, WI
National Provider Identifier
1467295782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.