Lifecare of West Michigan Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LIFECARE OF WEST MICHIGAN INC

Practice address

1909 Ruddiman Dr
Muskegon, MI 49445-3147

Phone

(231) 733-0030

NPI assigned

Oct 4, 2021

Organization subpart

No

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

Authorized official

Name

Ruth E Leestma

Title

Ceo

Phone

(231) 733-0030

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25114/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann Marie Bays, C.F.N.P.

  • Family Nurse Practitioner
  • Muskegon, MI
  • NPI 1194734814
  Medicare reassignment NPD
• Patricia A Wangerin, NP

  • Nurse Practitioner
  • Munster, IN
  • NPI 1962442483

  MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1710659255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 RUDDIMAN DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494453147",
            "telephone_number": "231-299-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 RUDDIMAN DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494453147",
            "telephone_number": "231-733-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE OF WEST MICHIGAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "LEESTMA",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-733-0030"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamryn Jane Lewkowski, PHARMD
• Ashley Liakos, PHARMD
• Kristine Lynn Lidbeck, FNP-BC
• Wanda Liddell
• James A Lieberman, M.D.
• Lifecircles
• Joseph John Lihan, LLP
• Kim Lilly
• Lincare Inc.
• Garrett Allen Lindsay, FNP-C

• Family Medicine Physician in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.