Organization Active NPI

Lifecare Homes, LLC

  • Custodial Care Facility
  • Greenfield, WI
National Provider Identifier
1720788540
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.