LIFESPACE COMMUNITIES INC (NPI# 1538366026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538366026 |
| Entity Type | Organization |
| Organization Name | LIFESPACE COMMUNITIES INC |
| Other Organization Name | OAK TRACE |
| Practice Address |
210 Village Dr Downers Grove IL 60516 |
| Mailing Address |
4201 Corporate Dr West Des Moines IA 50266-5906 |
| Practice Telephone | 6307696000 |
| Practice Fax Number | 6307696020 |
| Mailing Telephone | 5152885805 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-05-08 |
| Authorized Official Name | WILLIAM STEVEN NUTTY (COMPLIANCE, AUDIT & PRIVACY OFFICER) |
| Authorized Official Telephone | 5153097803 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Oak Trace | Doing Business As Name - Organization |
| OakTrace | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073551412 | Lifespace Communities Inc | Home Health | 1717 Homewood Blvd, Delray Beach, FL 33445-6876 | 2006-06-04 |
| 1033157607 | Lifespace Communities Inc | Home Health | 601 Universe Blvd, Juno Beach, FL 33408-2444 | 2006-06-03 |
| 1578500443 | Lifespace Communities Inc | Home Health | 500 Village Pl, Longwood, FL 32779-6171 | 2006-06-01 |
| 1184679532 | Lifespace Communities Inc | Skilled Nursing Facility | 8101 Mission Rd, Prairie Village, KS 66208-5245 | 2006-05-24 |
| 1881647899 | Lifespace Communities Inc | Durable Medical Equipment & Medical Supplies | 1290 Boyce Rd, Upper St Clair, PA 15241-3921 | 2006-05-19 |
| 1063465516 | Lifespace Communities Inc | Assisted Living Facility | 4400 S 80th St, Lincoln, NE 68516-4456 | 2006-05-18 |
| 1215910872 | Lifespace Communities Inc | Skilled Nursing Facility | 401 E Linton Blvd, Delray Beach, FL 33483-5028 | 2005-11-28 |
| 1023016730 | Lifespace Communities Inc | Skilled Nursing Facility | 250 Village Dr, Downers Grove, IL 60516 | 2005-07-07 |
| 1558839910 | Lifespace Communities Inc | Physical Therapist | 200 Village Dr, Downers Grove, IL 60516-3046 | 2018-11-05 |
| 1588606461 | Lifespace Communities Inc | Skilled Nursing Facility | 8100 Highwood Dr, Bloomington, MN 55438-1020 | 2006-06-12 |
| Street Address |
210 VILLAGE DR |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015432 | Costula Cassiani | Behavior Technician | 20w438 Camder Drive, Downers Grove, IL 60516 | 2018-06-02 |
| 1346769130 | Zahra Bohri | Dietitian, Registered | 6337 Blodgett Ct, Downers Grove, IL 60516 | 2017-09-13 |
| 1033567359 | Samuel Brooks Allen | Dentist | 6800 Main St., Third Floor, Downers Grove, IL 60516 | 2016-05-26 |
| 1396019469 | Beverly Woltman | Technician/Technologist | 6800 S. Main Street, Suite Ll5, Downers Grove, IL 60516 | 2012-03-06 |
| 1992080642 | Verna Dianne Velazquez | Counselor | 5630 Hillcrest Rd, Downers Grove, IL 60516 | 2011-10-13 |
| 1598048274 | Rabia Ansari | Optometrist | 1530 W 75th St, Downers Grove, IL 60516 | 2011-09-20 |
| 1487971545 | Brilliant Dental LLC | Dentist | 1400 W 75th St, B1, Downers Grove, IL 60516 | 2010-04-29 |
| 1235466558 | Erika D Schultz | Social Worker | 11008 Palmer St., Downers Grove, IL 60516 | 2009-11-06 |
| 1124253836 | Main Street Chiropractic and Wellness Center Ltd | Clinic/Center | 6234 S Main Street, Downers Grove, IL 60516 | 2009-05-26 |
| 1841439320 | Lisa Marie Burknap | Behavioral Analyst | 9 South 329 Cumnor, Downers Grove, IL 60516 | 2009-02-06 |
| Find all providers in zip 60516 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275941726 | Melc Physical Therapy Services, Inc | Clinic/Center | 6360 Belmont Rd, Downers Grove, IL 60516-2118 | 2014-07-29 |
| 1649719683 | Able Therapy Solutions, Inc | Clinic/Center | 404b 75th St, Downers Grove, IL 60516-4454 | 2017-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790336 | Priority You Physical Therapy and Wellness, Pllc | Clinic/Center | 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 | 2020-11-03 |
| 1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
| 1528666468 | Chicago Pelvic Health and Wellness, LLC | Clinic/Center | 1020 E Ogden Ave Ste 309, Naperville, IL 60563-8611 | 2020-10-13 |
| 1548876063 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 1000 Commerce Court, Suite 101, Bensenville, IL 60106 | 2020-09-21 |
| 1518573963 | Better Play Performance & Rehab Pllc | Clinic/Center | 1201 Waters Edge Rd, Champaign, IL 61822-8101 | 2020-09-21 |
| 1548876329 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 17130 Prime Blvd Ste 101, Lockport, IL 60441-1311 | 2020-09-17 |
| 1124631676 | Leena Bird Physical Therapy Pllc | Clinic/Center | 400 Prairie Knoll Dr, Naperville, IL 60565-4154 | 2020-08-25 |
| 1831702232 | Pararmount Physical Therapy LLC | Clinic/Center | 2960 Artesian Rd Ste 152, Naperville, IL 60564-4876 | 2020-08-25 |
| 1487263851 | Priority You Physical Therapy and Wellness Pllc | Clinic/Center | 2101 Alpine Way, Plainfield, IL 60586-5079 | 2020-07-30 |
| 1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | DOWNERS GROVE |
| Zip Code | 60516 |
Please comment or provide details below to improve the information on LIFESPACE COMMUNITIES INC.
| 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.