Lifecare of Indiana Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LIFECARE OF INDIANA INC

Practice address

240 Commerce SQ
Michigan City, IN 46360-3282

Phone

(219) 324-5005

NPI assigned

Jun 22, 2021

Last updated

Jun 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Isaac J Leestma

Title

Coo /Administrator

Phone

(616) 821-3485

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25117/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1982273165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 COMMERCE SQ",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603282",
            "telephone_number": "219-324-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 COMMERCE SQ",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603282",
            "telephone_number": "219-324-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE OF INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "LEESTMA",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO /ADMINISTRATOR",
        "authorized_official_telephone_number": "616-821-3485"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tieioko Lenoir
• Stephen Leonard, PT
• Stacey Colleen Leva, DO
• Joshua Tyler Lewis, PHARMD
• Katie Louise Lewis, PHARMD
• Lifecare of Indiana LLC
• Lily Lin
• Lisa Leniski, DDS, MSD, LLC (Michigan City Pediatric Dentistry)
• Jason C Little, NP
• Brenda Marie Loggins

• Family Medicine Physician in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.