JB KENOSHA HEALTHCARE LLC (NPI# 1205239001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205239001 |
| Entity Type | Organization |
| Organization Name | JB KENOSHA HEALTHCARE LLC |
| Other Organization Name | KENOSHA ESTATES REHAB & CARE CENTER |
| Practice Address |
1703 60th St Kenosha WI 53140-3986 |
| Practice Telephone | 2626584125 |
| Practice Fax Number | 2626582196 |
| Mailing Telephone | 2626584125 |
| Mailing Fax Number | 2626582196 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | MR. BRIAN LEVINSON (MANAGER) |
| Authorized Official Telephone | 8476756666 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | WI | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Kenosha Estates Rehab & Care Center | Doing Business As Name - Organization |
| Street Address |
1703 60TH ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140-3986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992752380 | Beverly Enterprises - Wisconsin Inc | Skilled Nursing Facility | 1703 60th St, Kenosha, WI 53140-3986 | 2006-05-30 |
| 1063052488 | Elaine Romenesko | Skilled Nursing Facility | 1703 60th St, Kenosha, WI 53140-3986 | 2020-01-14 |
| 1952958951 | Amanda Hornyak | Physical Therapy Assistant | 1703 60th St, Kenosha, WI 53140-3986 | 2019-08-23 |
| 1720559560 | Christian Timothy Puls | Occupational Therapist | 1703 60th St, Kenosha, WI 53140-3986 | 2018-12-05 |
| 1467957134 | Patricia Eleanor Fons | Occupational Therapy Assistant | 1703 60th St, Kenosha, WI 53140-3986 | 2018-03-26 |
| 1740794775 | Becky Verfuerth | Occupational Therapy Assistant | 1703 60th St, Kenosha, WI 53140-3986 | 2017-11-29 |
| 1720509946 | Allison Richards | Speech-Language Pathologist | 1703 60th St, Kenosha, WI 53140-3986 | 2017-06-28 |
| 1194276014 | Beth Nowikowski | Physical Therapy Assistant | 1703 60th St, Kenosha, WI 53140-3986 | 2016-10-14 |
| 1033584511 | Lisa Milczarski | Occupational Therapy Assistant | 1703 60th St, Kenosha, WI 53140-3986 | 2015-12-09 |
| 1811397839 | Emily Mary Riordan | Physical Therapy Assistant | 1703 60th St, Kenosha, WI 53140-3986 | 2014-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801006978 | Midway Manor Corp. | Skilled Nursing Facility | 1519 60th St, Kenosha, WI 53140-3954 | 2007-05-23 |
| 1922179597 | Extendicare Homes, Inc. | Skilled Nursing Facility | 8633 32nd Ave, Kenosha, WI 53142-5187 | 2006-11-13 |
| 1992752380 | Beverly Enterprises - Wisconsin Inc | Skilled Nursing Facility | 1703 60th St, Kenosha, WI 53140-3986 | 2006-05-30 |
| 1609823723 | Heartland-washington Manor of Kenosha Wi LLC | Skilled Nursing Facility | 3100 Washington Rd, Kenosha, WI 53144-1604 | 2006-05-27 |
| 1558329185 | Brookside Care Center | Skilled Nursing Facility | 3506 Washington Rd, Kenosha, WI 53144 | 2006-05-03 |
| 1740270735 | St. Joseph's Home of Our Lady of Mt Carmel Inc | Skilled Nursing Facility | 9244 29th Ave, Kenosha, WI 53143-6602 | 2005-10-21 |
| 1063052488 | Elaine Romenesko | Skilled Nursing Facility | 1703 60th St, Kenosha, WI 53140-3986 | 2020-01-14 |
| 1730665159 | The Manor of Kenosha LLC | Skilled Nursing Facility | 3100 Washington Rd, Kenosha, WI 53144-1604 | 2018-07-18 |
| 1083127641 | Crossroads Care Center of Kenosha | Skilled Nursing Facility | 8633 32nd Ave, Kenosha, WI 53142-5187 | 2017-11-06 |
| 1295253045 | Nsh Kenosha LLC | Skilled Nursing Facility | 8633 32nd Ave, Kenosha, WI 53142-5187 | 2017-08-31 |
| Find all providers in KENOSHA | ||||
Please comment or provide details below to improve the information on JB KENOSHA HEALTHCARE LLC.
| 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.