MEDICARE: LAKELAND HOSPICE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1144179110
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAKELAND HOSPICE LLC

Provider Business Mailing Address
First Line	:	1446 116TH ST
Second Line	:
City	:	CHIPPEWA FALLS
State	:	WI
Zip	:	54729-5569
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1446 116TH ST
Second Line	:
City	:	CHIPPEWA FALLS
State	:	WI
Zip	:	54729-5569
Country	:	US
Telephone Number	:	715-239-2075
Fax Number	:	715-239-2116

Authorized Official
Title or Position	:	COO
Name	:	NATASHA WEBERG
Credential	:	MSN/MHA
Telephone Number	:	815-289-9150

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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