Organization Active NPI

Lifecare Hospitals of Milwaukee, Inc

  • Long Term Care Hospital
  • Pewaukee, WI
National Provider Identifier
1831123819
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
302 Issued in WI
Legal business name
LIFECARE HOSPITALS OF MILWAUKEE, INC
Practice address
2400 Golf Rd
Pewaukee, WI 53072-5590
Phone
(262) 524-2600
Fax
(262) 524-2722
NPI assigned
Jul 10, 2006
Last updated
May 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Authorized official

Name
Mr. Michael Cronin, CPA
Title
Vice President Reimbursement
Phone
(469) 241-2128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 302 WI Primary

Addresses

Primary practice location

2400 Golf Rd
Pewaukee, WI 53072-5590

Mailing address

5340 Legacy Dr
Suite 150
Plano, TX 75024-3178
Phone (469) 241-2100

Other identifiers 1

IdentifierTypeStateIssuer
11023900MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1831123819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 LEGACY DR",
            "address_2": "SUITE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243178",
            "telephone_number": "469-241-2100",
            "fax_number": "469-241-5198"
        },
        {
            "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": "262-524-2600",
            "fax_number": "262-524-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE HOSPITALS OF MILWAUKEE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "CRONIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT REIMBURSEMENT",
        "authorized_official_telephone_number": "469-241-2128",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "WI",
            "license": "302",
            "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 14, 2013; 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.