Lake Terrace Nursing and Rehab LLC
NPI 1053803031 · Skilled Nursing Facility · Milwaukee, WI
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Terrace Nursing and Rehab LLC is a Skilled Nursing Facility organization in Milwaukee, WI (NPI 1053803031).
Provider details
- NPI number
- 1053803031
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Max Stesel, Owner(773) 825-3336
- License
- 3150 (WI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Edenbrook Lakeside
Registry dates
- Enumerated
- 2018-06-05
- Last updated
- 2020-09-16
- Certified
- 2020-09-16
Frequently asked questions
- What is Lake Terrace Nursing and Rehab LLC's NPI number?
- Lake Terrace Nursing and Rehab LLC's National Provider Identifier (NPI) is 1053803031, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Terrace Nursing and Rehab LLC?
- Lake Terrace Nursing and Rehab LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Lake Terrace Nursing and Rehab LLC located?
- Lake Terrace Nursing and Rehab LLC's practice location on file with NPPES is 2115 E Woodstock Pl, Milwaukee, WI 53202-1342.
- What is Lake Terrace Nursing and Rehab LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Terrace Nursing and Rehab LLC is (414) 271-1020.
- Does Lake Terrace Nursing and Rehab LLC accept Medicare?
- Lake Terrace Nursing and Rehab LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Terrace Nursing and Rehab LLC?
- The authorized official listed on Lake Terrace Nursing and Rehab LLC's NPPES record is Max Stesel, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Terrace Nursing and Rehab LLC's NPI active?
- Yes — Lake Terrace Nursing and Rehab LLC's NPI (1053803031) is active in the NPPES registry as of the last update on 2020-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.