Provider Demographics
NPI:1942391545
Name:LIFETECH HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:LIFETECH HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:L
Authorized Official - Last Name:TOGLIATTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-762-1300
Mailing Address - Street 1:440 W. BELL CT
Mailing Address - Street 2:SUITE 400
Mailing Address - City:OAK CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53154
Mailing Address - Country:US
Mailing Address - Phone:414-762-1300
Mailing Address - Fax:414-762-6484
Practice Address - Street 1:560 N. INDIANA AVE
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307
Practice Address - Country:US
Practice Address - Phone:888-800-9445
Practice Address - Fax:866-469-1469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203000243332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL3944510001Medicare NSC