LAKEVIEW NEUROREHAB CENTER MIDWEST, INC (NPI# 1396726873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396726873 |
| Entity Type | Organization |
| Organization Name | LAKEVIEW NEUROREHAB CENTER MIDWEST, INC |
| Other Organization Name | LAKEVIEW SPECIALTY HOSPITAL & REHAB |
| Practice Address |
1701 Sharp Rd Waterford WI 53185-5214 |
| Practice Telephone | 2625347297 |
| Practice Fax Number | 2625347257 |
| Mailing Telephone | 2625347297 |
| Mailing Fax Number | 2625347257 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2015-09-10 |
| Authorized Official Name | JERRY V. AMATO (PRESIDENT/COO) |
| Authorized Official Telephone | 2625347297 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
WI | Transportation Services | |
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| Y | 282E00000X | Long Term Care Hospital | Hospitals | ||
| N | 283X00000X | Rehabilitation Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 11022100 | 05 | |
| WI | 11022181 | 05 |
| Other Name | Type Code |
|---|---|
| Lakeview Specialty Hospital & Rehab | Doing Business As Name - Organization |
| Street Address |
1701 SHARP RD |
| City | WATERFORD |
| State | WI |
| Zip Code | 53185-5214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603327 | Mro2 Consulting, LLC | Physical Medicine & Rehabilitation | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2020-06-10 |
| 1548737349 | Ashlee Leidall | Physical Medicine & Rehabilitation | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2018-10-30 |
| 1134695521 | Christine Fregien | Physical Therapy Assistant | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2018-10-23 |
| 1285148049 | Melissa Schellenberger | Counselor | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2017-11-30 |
| 1932506169 | Mary Grajewski | Speech-Language Pathologist | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2014-12-03 |
| 1366787863 | Ihc Hospitalists LLC | Hospitalist | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2012-12-10 |
| 1033460936 | Lakeview Neurorehab Center Midwest, Inc. | Ambulance | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2012-10-02 |
| 1689959413 | Erica Lynn Heisser | Speech-Language Pathologist | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2011-10-12 |
| 1083924732 | Lakeview Care Partners, Inc. | Behavioral Analyst | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2010-10-15 |
| 1588982938 | Teresa Anne Mrnik | Speech-Language Pathologist | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2010-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649755695 | Alyssa Jane Revolinski | Respite Care | 269435 S Elm Lane, Waterford, WI 53185 | 2018-09-26 |
| 1871973370 | Julie Minikowski | Community Health Worker | 207 Milwaukee Avenue, A, Waterford, WI 53185 | 2015-06-01 |
| 1629235031 | Fluegge Optical | Technician/Technologist | 920 E Main Street, Waterford, WI 53185 | 2008-05-22 |
| 1659598209 | Julie Michals | Occupational Therapist | 1701 Sharp Road, Waterford, WI 53185 | 2007-04-18 |
| 1518072768 | Jennifer Jayne Decker | Family Medicine | 818 Forrest Ln, Waterford, WI 53185 | 2006-08-20 |
| 1215966908 | Amy Beth Flock | Physical Therapy Assistant | 2319 Fox Knoll Dr, Waterford, WI 53185 | 2006-07-03 |
| 1750762472 | Tesalia R Renteria | Family Medicine | 818 Forest Ln, Waterford, WI 53185 | 2015-06-18 |
| 1649651092 | Kathryn C Halyko | Pediatrics | 818 Forest Ln, Waterford, WI 53185 | 2015-06-11 |
| 1518109735 | Daniel A Allison | Family Medicine | 818 Forest Ln, Waterford, WI 53185 | 2009-04-02 |
| 1356456545 | Christine M Dignan | Pediatrics | 818 Forrest Ln, Waterford, WI 53185 | 2006-08-20 |
| Find all providers in zip 53185 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972740322 | Veterans Administration Hospital | Long Term Care Hospital | 500 E Veterans St Bldg 402, Tomah, WI 54660-3105 | 2009-01-07 |
| 1831123819 | Lifecare Hospitals of Milwaukee, Inc | Long Term Care Hospital | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2006-07-10 |
| 1154724847 | Milwaukee Va | Long Term Care Hospital | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2014-10-08 |
| 1447675103 | Select Specialty Hospital Oshkosh Inc. | Long Term Care Hospital | 500 South Oakwood Road, 3rd Floor, Oshkosh, WI 54904 | 2014-03-04 |
| 1033554506 | Post Acute Specialty Hospital of Milwaukee LLC | Long Term Care Hospital | 5017 S 110th St, Greenfield, WI 53228-3131 | 2013-05-09 |
| 1811330509 | New Lifecare Hospitals of Milwaukee LLC | Long Term Care Hospital | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2013-04-11 |
| 1972658631 | St. Joseph's Health Services, Inc | Long Term Care Hospital | 400 Water Ave, Hillsboro, WI 54634 | 2007-01-24 |
| 1083783088 | Transitional Hospitals Corporation of Wisconsin, Inc. | Long Term Care Hospital | 5017 S 110th St, Greenfield, WI 53228-3131 | 2006-11-06 |
| 1447250105 | Select Specialty Hospital - Milwaukee Inc | Long Term Care Hospital | 8901 W Lincoln Ave, 2nd Floor, West Allis, WI 53227-2409 | 2005-07-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.