Active NPI
Lifecare Homes, LLC
- Custodial Care Facility
- Greenfield, WI
National Provider Identifier
1720788540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- Legal business name
- LIFECARE HOMES, LLC
- Practice address
- 4013 S 119TH Street
Greenfield, WI 53228 - Phone
- (262) 888-2599
- Fax
- (414) 892-4970
- NPI assigned
- Mar 9, 2023
- Organization subpart
- Yes
- Parent organization
- LIFE FOR SENIORS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Schneider
- Title
- Member
- Phone
- (636) 734-4327
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
4013 S 119TH Street
Greenfield, WI 53228
Mailing address
806 Church St
Unit 1
Allenton, WI 53002
Phone (262) 888-2599
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678320000000",
"number": "1720788540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 CHURCH ST",
"address_2": "UNIT 1",
"city": "ALLENTON",
"state": "WI",
"postal_code": "53002",
"telephone_number": "262-888-2599",
"fax_number": "414-892-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4013 S 119TH STREET",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "53228",
"telephone_number": "262-888-2599",
"fax_number": "414-892-4970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFECARE HOMES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIFE FOR SENIORS LLC",
"enumeration_date": "2023-03-09",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A",
"authorized_official_last_name": "SCHNEIDER",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "636-734-4327"
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": true
},
{
"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 Greenfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.