Active NPI
Lifecare Hospitals of Milwaukee, Inc
- Long Term Care Hospital
- Pewaukee, WI
National Provider Identifier
1831123819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- 302
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11023900 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI 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.