Beverly Enterprises - Wisconsin Inc in Kenosha - Skilled Nursing Facility
Beverly Enterprises - Wisconsin Inc - NPI 1992752380
Beverly Enterprises - Wisconsin Inc is a Skilled Nursing Facility in Kenosha, Wisconsin. Beverly Enterprises - Wisconsin Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Beverly Enterprises - Wisconsin Inc is 1992752380. The last update date is 2008-12-19.
Beverly Enterprises - Wisconsin Inc's current location address is 1703 60th St, Kenosha, Wisconsin. You can contact this provider via phone number 2626584125. The mailing address for Beverly Enterprises - Wisconsin Inc is 1703 60th St, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beverly Enterprises - Wisconsin Inc |
|---|---|
| Address | 1703 60th St, Kenosha, Wisconsin |
| Phone Number | 2626584125 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY |
|---|---|
| Authorized Official Name | Rasmussen-Jones A Holly |
| Telephone Number | 4792014835 |
NPI Number Detail
| NPI Number | 1992752380 |
|---|---|
| Provider Enumeration Date | 2006-05-30 |
| Last Updated Date | 2008-12-19 |
Provider Mailing Address Detail
| Address | 1703 60th St |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531403986 |
| Phone Number | 2626584125 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 525125 | WI | SECURITY HP | |
| 20-1709-00 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Beverly Enterprises - Wisconsin Inc?
The Beverly Enterprises - Wisconsin Inc has been issued the NPI (National Provider Identifier) 1992752380 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Beverly Enterprises - Wisconsin Inc located?
The Beverly Enterprises - Wisconsin Inc is located at 1703 60Th St, Kenosha, WI 531403986.
What is Beverly Enterprises - Wisconsin Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Beverly Enterprises - Wisconsin Inc's area of specialization is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this field of practice is 314000000X.
On what date did Beverly Enterprises - Wisconsin Inc receive its 1992752380 assignment from the Centers for Medicare & Medicaid Services?
The Beverly Enterprises - Wisconsin Inc was assigned its 1992752380 on 2006-05-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Beverly Enterprises - Wisconsin Inc most recently updated or revised?
The information pertaining to Beverly Enterprises - Wisconsin Inc, including its address, specialty, and other relevant details, was last updated or revised on 2008-12-19.