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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | 2009 | WI | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 43190100 | 05 |
Other Name | Type Code |
---|---|
Cedar Community Hospice | Doing Business As Name - Organization |
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 |
Street Address |
5595 COUNTY ROAD Z |
City | WEST BEND |
State | WI |
Zip Code | 53095-9224 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 53095 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
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---|---|---|---|---|
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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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.