Lakeview Neurorehab Center Midwest, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

8222-042 Issued in WI

Legal business name

LAKEVIEW NEUROREHAB CENTER MIDWEST, INC

Practice address

1701 Sharp Rd
Waterford, WI 53185-5214

Phone

(262) 534-7297

Fax

(262) 534-8540

NPI assigned

Mar 29, 2007

Organization subpart

Yes

Parent organization

LAKEVIEW NEUROREHAB CENTER MIDWEST, INCAs reported in NPPES

Name

Christopher Scott Slover

Title

Ceo

Phone

(512) 973-9700

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

• Lakeview Neurorehab Center Midwest, Inc.

  • Land Ambulance
  • Waterford, WI
  • NPI 1033460936
  NPD tax ID

Tax ID family

Lakeview Neuro Rehab Ce (2 organizations share this tax ID)

Part of

Lakeview Neuro Rehab Ce

• Lakeview Specialty Hospital Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 21, 2023.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1821118340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SHARP RD",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531855214",
            "telephone_number": "262-534-7297",
            "fax_number": "262-534-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SHARP RD",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531855214",
            "telephone_number": "262-534-7297",
            "fax_number": "262-534-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW NEUROREHAB CENTER MIDWEST, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKEVIEW NEUROREHAB CENTER MIDWEST, INC",
        "enumeration_date": "2007-03-29",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "SLOVER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-973-9700"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "8222-042",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11022100",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Waterford",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 Sharp Rd",
            "city": "Waterford",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531855214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lakeview Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeview Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakeview Care Partners, Inc.
• Lakeview Critical Care EMS, Inc
• Lakeview Healthcare Systems Waterford
• Lakeview Neurorehab Center Midwest, Inc
• Lakeview Neurorehab Center Midwest, Inc
• Lakeview Neurorehab Center Midwest, Inc.
• Jonathan Lancourt
• Ashlee Leidall, DPT
• Sarah Lesch
• Edward J Lesniak, PTA

• All providers in Waterford, WI
• Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.