BENEVOLENT CORPORATION CEDAR COMMUNITY


Address: 5595 County Road Z, West Bend, WI 53095-9224
Phone: 2623062691

BENEVOLENT CORPORATION CEDAR COMMUNITY (NPI# 1194877902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194877902
Entity Type Organization
Organization Name BENEVOLENT CORPORATION CEDAR COMMUNITY
Other Organization Name CEDAR COMMUNITY HOSPICE
Practice Address 5595 County Road Z
West Bend
WI 53095-9224
Practice Telephone 2623062691
Practice Fax Number 2623062689
Mailing Telephone 2623062100
Mailing Fax Number 2623062689
Enumeration Date 2007-01-18
Last Update Date 2019-05-09
Authorized Official Name JOSEPH T PICHLER (VICE PRESIDENT OF FINANCE)
Authorized Official Telephone 2623064212
Is Organization Subpart Y
Parent Organization Name BENEVOLENT CORPORATION CEDAR COMMUNITY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based 2009 WI Agencies

Other Provider Identifier

State Issuer Identifier Type Code
WI 43190100 05

Other Provider/Organization Names

Other Name Type Code
Cedar Community Hospice Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1194909341 Benevolent Corporation Cedar Community Custodial Care Facility 113 Cedar Ridge Dr, West Bend, WI 53095-3654 2007-12-24
1851391304 Benevolent Corporation Cedar Community Assisted Living Facility 5577 Home Dr, West Bend, WI 53095-7616 2005-07-27
1487654935 Benevolent Corporation Cedar Community Assisted Living Facility 5555 Cedar Bay, West Bend, WI 53095-7602 2005-07-27
1972054138 Benevolent Corporation Cedar Community Assisted Living Facility 5595 County Road Z, West Bend, WI 53095-9224 2016-10-21
1639438716 Benevolent Corporation Cedar Community Assisted Living Facility 101 Cedar Ln, Elkhart Lake, WI 53020-2142 2012-05-10
1669513560 Benevolent Corporation Cedar Community Skilled Nursing Facility 5595 County Road Z, West Bend, WI 53095-9224 2007-02-12
1740332907 Benevolent Corporation Cedar Community Home Health 5595 County Road Z, West Bend, WI 53095-9224 2007-01-17
1154321602 Benevolent Corporation Cedar Community Pharmacy 5595 County Road Z, West Bend, WI 53095-9224 2005-07-27
1811997695 Benevolent Corporation Cedar Community Skilled Nursing Facility 5595 County Road Z, West Bend, WI 53095-9224 2005-07-22

Office Location

Street Address 5595 COUNTY ROAD Z
City WEST BEND
State WI
Zip Code 53095-9224

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194720789 Michael A Brodzeller Physical Therapist 5595 County Road Z, West Bend, WI 53095-9224 2005-06-20
1477161537 Ashley Marie Groth Physical Therapist 5595 County Road Z, West Bend, WI 53095-9224 2020-07-15
1144867771 Kelsey Kultgen Occupational Therapy Assistant 5595 County Road Z, West Bend, WI 53095-9224 2019-12-02
1033684402 Daniel Steuer Physical Therapy Assistant 5595 County Road Z, West Bend, WI 53095-9224 2018-10-11
1548755416 Brett Vollmer Physical Therapist 5595 County Road Z, West Bend, WI 53095-9224 2018-06-24
1871014316 Lindsey Hamann Speech-Language Pathologist 5595 County Road Z, West Bend, WI 53095-9224 2017-07-06
1902347081 Lee Anderson Pharmacist 5595 County Road Z, West Bend, WI 53095-9224 2017-03-09
1972054138 Benevolent Corporation Cedar Community Assisted Living Facility 5595 County Road Z, West Bend, WI 53095-9224 2016-10-21
1871042929 Susan Christensen Physical Therapist 5595 County Road Z, West Bend, WI 53095-9224 2016-09-30
1629440490 Maricel Schulte Speech-Language Pathologist 5595 County Road Z, West Bend, WI 53095-9224 2015-10-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942820428 David Fountain Contractor 726 Creedwood Lane, West Bend, WI 53095 2020-04-24
1922664358 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1745 South Main St, West Bend, WI 53095 2019-05-10
1912423773 Michelle R Prentice Family Medicine West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 2017-08-14
1386165918 Quad/med, LLC Clinic/Center 432 E. Washington St. #1115, West Bend, WI 53095 2017-07-05
1508230632 Jesen Daniel Counselor 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 2015-12-01
1477965259 Jenna Crofts Specialist/Technologist 1190 East Paradise Drive, West Bend, WI 53095 2014-05-28
1023436342 Visionworks Optometrist 1437 S. Main St., West Bend, WI 53095 2014-04-03
1295157295 Stephanie Rabe Registered Nurse 910 E. Paradise Drive, West Bend, WI 53095 2014-01-09
1477898815 Ralph Norman Olsen Pediatrics 6267 Riesch Road, West Bend, WI 53095 2012-12-11
1932458536 Joshua Aaron Barta Dentist 2090 Continental Drive, West Bend, WI 53095 2012-08-29
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992317762 Castle Senior Living, Inc Hospice Care, Community Based 13050 W Cleveland Ave, New Berlin, WI 53151-4013 2020-08-21
1982215307 Moments Hospice of Appleton LLC Hospice Care, Community Based 806 Valley Rd Ste 1, Menasha, WI 54952-1120 2020-08-10
1992316319 Moments Hospice of Madison LLC Hospice Care, Community Based 5315 Wall St Ste 135, Madison, WI 53718-7963 2020-08-10
1912531997 Moments Hospice of Milwaukee Hospice Care, Community Based 1139 S Sunnyslope Dr Ste 200, Mt Pleasant, WI 53406-3998 2020-02-27
1194375915 Moments Hospice of Eau Claire LLC Hospice Care, Community Based 2263 East Ridge Center, Eau Claire, WI 54701 2019-09-13
1871052944 Kenya Pratt Hospice Care, Community Based 5510 N 33rd St, Milwaukee, WI 53209-4834 2019-03-18
1518432749 Brighton Hospice Wisconsin Hospice Care, Community Based 300 N Executive Dr Ste 110, Brookfield, WI 53005-6016 2018-10-03
1184136939 Legacy Hospice Cares LLC Hospice Care, Community Based 850 Elm Grove Rd Ste 21, Elm Grove, WI 53122-2527 2017-11-02
1720523210 Holistic Hospice Inc Hospice Care, Community Based 3422 W Howard Ave, Greenfield, WI 53221-1208 2016-12-20
1740722586 Bani Inc Hospice Care, Community Based 7434 N Lannon Rd, Lannon, Lannon, WI 53046-9746 2016-11-10
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Competitor

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City WEST BEND
Zip Code 53095

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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