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

NPI Status: Active since October 02, 2012

Contact Information

1701 SHARP RD
WATERFORD, WI
ZIP 53185
Phone: (262) 534-7297
Fax: (262) 534-7257

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 52D0721195
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 04-18-2027

About LAKEVIEW SPECIALTY HOSPITAL & REAHB

This page provides the complete NPI Profile along with additional information for Lakeview Specialty Hospital & Reahb, a provider established in Waterford, Wisconsin operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1033460936 assigned on October 2012. The practitioner's primary taxonomy code is 3416L0300X with license number 6604929 (WI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Lakeview Specialty Hospital & Reahb. The authorized official of this NPI record is Andy Olivares (Coo & Administrator)

NPI
1033460936
Provider Legal Name
LAKEVIEW NEUROREHAB CENTER MIDWEST, INC.
Other Organization Name
LAKEVIEW SPECIALTY HOSPITAL & REAHB
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1701 SHARP RD WATERFORD, WI 53185
Location Phone
(262) 534-7297
Location Fax
(262) 534-7257
Mailing Address
1701 SHARP RD WATERFORD, WI 53185
Mailing Phone
(262) 534-7297
Mailing Fax
(262) 534-7257
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-02-2012
Last Update Date
08-10-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance Land Transport

Taxonomy Code
3416L0300X
Type
Transportation Services
License No.
6604929
License State
WI

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANDY OLIVARES

Authorized Official Title
COO & ADMINISTRATOR
Authorized Official Phone
(262) 534-7297

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D0721195
Facility Type
Hospital
Certificate Effective Date
April 19, 2025
Certificate Expiration Date
April 18, 2027
Laboratory Director
CATHY BOHRER
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Lakeview Specialty Hospital & Reahb after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1033460936, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 4 → 8 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 6 + 3 + 8 + 6 + 0 + 9 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1033460936.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
1701 SHARP RD
WATERFORD, WI 53185
Psychologist (Cognitive & Behavioral)
1701 SHARP RD
WATERFORD, WI 53185
Occupational Therapist
1701 SHARP RD
WATERFORD, WI 53185
Speech-Language Pathologist
1701 SHARP RD
WATERFORD, WI 53185
Physical Therapist
1701 SHARP RD
WATERFORD, WI 53185
Occupational Therapist
1701 SHARP RD
WATERFORD, WI 53185
Occupational Therapist
1701 SHARP RD
WATERFORD, WI 53185
Physical Therapist
1701 SHARP RD
WATERFORD, WI 53185
Speech-Language Pathologist
1701 SHARP RD
WATERFORD, WI 53185
Occupational Therapy Assistant
1701 SHARP RD
WATERFORD, WI 53185
Speech-Language Pathologist
1701 SHARP RD
WATERFORD, WI 53185
Speech-Language Pathologist
1701 SHARP RD
WATERFORD, WI 53185
Occupational Therapist
1701 SHARP RD
WATERFORD, WI 53185
Physical Therapy Assistant
1701 SHARP RD
WATERFORD, WI 53185
Speech-Language Pathologist
1701 SHARP RD
WATERFORD, WI 53185
Speech-Language Pathologist
1701 SHARP RD, LAKEVIEW SPECIALTY HOSPITAL
WATERFORD, WI 53185
Internal Medicine
1701 SHARP RD
WATERFORD, WI 53185
Psychologist (Clinical)
1701 SHARP RD
WATERFORD, WI 53185
Pharmacist
1701 SHARP RD
WATERFORD, WI 53185
Speech-Language Pathologist
1701 SHARP RD
WATERFORD, WI 53185

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033460936, enumerated as an "organization" on October 02, 2012.

The provider is located at 1701 SHARP RD WATERFORD, WI 53185 and the phone number is (262) 534-7297.

Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.