LIFECARE HOSPITAL OF WISCONSIN (NPI# 1790963411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790963411 |
| Entity Type | Organization |
| Organization Name | LIFECARE HOSPITAL OF WISCONSIN |
| Practice Address |
2400 Golf Rd Pewaukee WI 53072-5590 |
| Practice Telephone | 2625242624 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |
| Authorized Official Name | MS. CHRISTIE LYNNE SCHULTZ (DIETITIAN) |
| Authorized Official Telephone | 2625242624 |
| Authorized Official Credential | RD, CD, CNSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 11023900 | 05 |
| Street Address |
2400 GOLF RD |
| City | PEWAUKEE |
| State | WI |
| Zip Code | 53072-5590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831123819 | Lifecare Hospitals of Milwaukee, Inc | Long Term Care Hospital | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2006-07-10 |
| 1457714271 | Waukesha Surgery Center, LLC | Clinic/Center | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2016-03-30 |
| 1811330509 | New Lifecare Hospitals of Milwaukee LLC | Long Term Care Hospital | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2013-04-11 |
| 1740572619 | Infectious Disease Specialists, Sc | Clinic/Center | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2011-05-10 |
| 1831413723 | Milwaukee Kidney Institute Inc | Emergency Medicine | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2010-03-21 |
| 1629235346 | Lifecare Hospitals | General Acute Care Hospital | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2008-05-20 |
| 1245410851 | Premier Wound Specialists, LLC | Emergency Medicine | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2007-11-12 |
| 1811043730 | Debra Thompson | Internal Medicine | 2400 Golf Rd, Pewaukee, WI 53072-5590 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
| 1871122556 | Mary Kofigah | Nurse Practitioner | 21150 W. Capital Dr., Brookfield, WI 53072 | 2020-04-05 |
| 1609436559 | Brianna Kelly Bates | Optometrist | 1440 Capitol Drive, Suite B, Pewaukee, WI 53072 | 2019-06-13 |
| 1932767316 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1440 Capital Drive, Suite B, Pewaukee, WI 53072 | 2019-05-31 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1346664869 | Jane Sweney | Counselor | 325 Forest Grove Drive, Pewaukee, WI 53072 | 2014-02-05 |
| 1093082182 | Kristin Elizabeth Thieneman | Pharmacist | 443 Pewaukee Road, Pewaukee, WI 53072 | 2011-11-17 |
| 1922318393 | Ariane Machin | Psychologist | 161 W. Wisconsin Ave #2b, Pewaukee, WI 53072 | 2010-10-19 |
| 1083930879 | Scott Robert Borkenhagen | Student in an Organized Health Care Education/Training Program | 384 Willow Grove Dr., Unit D, Pewaukee, WI 53072 | 2010-04-19 |
| 1912174988 | Robert Thomas Lynch | Dentist | 234 Oakton Ave, Pewaukee, WI 53072 | 2008-05-09 |
| Find all providers in zip 53072 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714292 | Human Services Board Serving North Central Health Care Facility | Special Hospital | 2380 Marshall St., Wausau, WI 54403 | 2020-09-14 |
| 1962949552 | Kimberly Turner | Special Hospital | 106 W Seeboth St Unit 612, Milwaukee, WI 53204-4325 | 2017-01-20 |
| 1699030783 | Kiel Veterinary Clinic | Special Hospital | 575 Belitz Dr, Kiel, WI 53042-1577 | 2012-07-05 |
| 1366772675 | St. Joseph's Hospital-hospital Sisters-third Order of St. Francis | Special Hospital | 2301 County Hwy I, Chippewa Falls, WI 54729-5407 | 2010-01-08 |
| 1235368770 | West Allis Animal Hospital, Inc. | Special Hospital | 1736 S 82nd St, West Allis, WI 53214-4425 | 2009-07-06 |
| 1063663599 | Best Friends Veterinary Center | Special Hospital | 2082 Cheyenne Ave, Grafton, WI 53024-9368 | 2008-10-02 |
| 1598949620 | St. Jospeh's Hospital | Special Hospital | 1712 Dunlap Sq Ste 5, Marinette, WI 54143-1709 | 2007-12-26 |
| 1770767808 | St. Joseph's Hospital | Special Hospital | 1009 Egg Harbor Rd Ste 102, Sturgeon Bay, WI 54235-1266 | 2007-12-26 |
| 1528098530 | St Josephs Hospital of The Hospital Sisters of The Third Order of St F | Special Hospital | 1701 Dousman St, Green Bay, WI 54303-3211 | 2006-07-04 |
| 1124470455 | Jingqiao Zhang | Special Hospital | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2016-07-11 |
| Find all providers with the same taxonomy | ||||
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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.