NPIMap

Organization Active NPI

Lifecare Hospitals

  • General Acute Care Hospital
  • Pewaukee, WI
National Provider Identifier
1629235346
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2054-154 Issued in WI
Legal business name
LIFECARE HOSPITALS
Practice address
2400 Golf Rd
Pewaukee, WI 53072-5590
Phone
(262) 524-2630
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Aric Wormington, M.S., CCC-SLP
Title
Speech-Language Pathologist
Phone
(262) 524-2630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2054-154 WI Primary

Addresses

Primary practice location

2400 Golf Rd
Pewaukee, WI 53072-5590

Mailing address

2400 Golf Rd
Pewaukee, WI 53072-5590

Other identifiers 1

IdentifierTypeStateIssuer
11023900MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Lifecare Hospitals2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1629235346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 GOLF RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 GOLF RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725590",
            "telephone_number": "262-524-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "WORMINGTON",
        "authorized_official_first_name": "ARIC",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "262-524-2630",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WI",
            "license": "2054-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11023900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.