Provider Demographics
NPI:1720788540
Name:LIFECARE HOMES, LLC
Entity Type:Organization
Organization Name:LIFECARE HOMES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-734-4327
Mailing Address - Street 1:806 CHURCH ST
Mailing Address - Street 2:UNIT 1
Mailing Address - City:ALLENTON
Mailing Address - State:WI
Mailing Address - Zip Code:53002
Mailing Address - Country:US
Mailing Address - Phone:262-888-2599
Mailing Address - Fax:414-892-4970
Practice Address - Street 1:4013 S 119TH STREET
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53228
Practice Address - Country:US
Practice Address - Phone:262-888-2599
Practice Address - Fax:414-892-4970
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIFE FOR SENIORS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities