Lakeview Healthcare Systems Waterford

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

LAKEVIEW HEALTHCARE SYSTEMS WATERFORD

Practice address

5310 Buena Park Rd
Waterford, WI 53185-2907

Phone

(262) 534-7297

NPI assigned

Jan 16, 2008

Last updated

Nov 24, 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. Christopher Slover

Title

Ceo

Phone

(512) 973-9700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1508042961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 RUTLAND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585421",
            "telephone_number": "512-973-9700",
            "fax_number": "512-857-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 BUENA PARK RD",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531852907",
            "telephone_number": "262-534-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW HEALTHCARE SYSTEMS WATERFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "SLOVER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-973-9700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lynn Kubiak, BSN, RN
• Nitesh Kumar, MD
• Satish Lahiri, MD
• Lakeview Care Partners, Inc. (Lakeview Mill Pond)
• Lakeview Critical Care EMS, Inc
• Lakeview Neurorehab Center Midwest, Inc
• Lakeview Neurorehab Center Midwest, Inc (Lakeview Specialty Hospital and Rehab)
• Lakeview Neurorehab Center Midwest, Inc (Lakeview Specialty Hospital)
• Lakeview Neurorehab Center Midwest, Inc. (Lakeview Specialty Hospital & Reahb)
• Jonathan Lancourt

• Mental Illness Community Based Residential Treatment Facility in Waterford, WI
• Providers in Waterford, WI by specialty
• Mental Illness Community Based Residential Treatment Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.