LAKEVIEW SPECIALTY HOSPITAL & REAHB
NPI 1033460936
Ambulance - Land Transport in Waterford, WI

Q: What is the provider's specialty?

The provider's specialty is Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.

Active since October 02, 2012CLIA 52D0721195 · Certificate of Compliance

1701 SHARP RD, WATERFORD, WI 53185(262) 534-7297(262) 534-7257 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Lakeview Specialty Hospital & Reahb NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKEVIEW SPECIALTY HOSPITAL & REAHB (NPI 1033460936) is a healthcare organization registered as a land transport in Waterford, Wisconsin and active in the NPI registry since October 2012. The organization holds a CLIA Certificate of Compliance certificate valid through April 18, 2027 and lists Andy Olivares, Coo & Administrator, as its authorized official.

NPPES Registry Identity

NPI1033460936

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameLAKEVIEW NEUROREHAB CENTER MIDWEST, INC.

Location Address1701 SHARP RDWaterford, WI 53185-5214

Mailing Address1701 Sharp RdWaterford, WI 53185-5214 · (262) 534-7297 · Fax (262) 534-7257

Phone(262) 534-7297

Fax(262) 534-7257

Organization SubpartNo

Authorized OfficialAndy OlivaresCoo & Administrator · (262) 534-7297

Enumeration DateOctober 2, 2012

Last NPPES UpdateAugust 10, 2021

NPPES CertifiedAugust 10, 2021

✔ NPI 1033460936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

License✔ Licensed in WI · 6604929

1701 SHARP RD, Waterford, WI 53185

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Other Names 1

Doing Business AsLakeview Specialty Hospital & Reahb

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 52D0721195

Lakeview Specialty Hospital & Rehab · Waterford, WI

Active · expires Apr 18, 2027

CLIA Number52D0721195

Laboratory TypeHospital

Certificate Effective DateApril 19, 2025

Certificate Expiration DateApril 18, 2027

Laboratory DirectorCathy Bohrer

Laboratory Phone(262) 534-7297

Laboratory LocationLakeview Specialty Hospital & Rehab1701 Sharp Rd, Waterford, WI 53185

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOANNE MARIE NARUT PHARM.D. R.PH.

Pharmacist