BELOIT NURSING AND REHAB, LLC (NPI# 1467941070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467941070 |
| Entity Type | Organization |
| Organization Name | BELOIT NURSING AND REHAB, LLC |
| Other Organization Name | EDENBROOK OF BELOIT |
| Practice Address |
1905 W Hart Rd Beloit WI 53511-2230 |
| Mailing Address |
8170 Mccormick Blvd Ste 112 Skokie IL 60076-2914 |
| Practice Telephone | 6083652554 |
| Mailing Telephone | 7738253336 |
| Mailing Fax Number | 8474236991 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |
| Authorized Official Name | ROSTISLAV PUKSHANSKY (CORPORATE MANAGER) |
| Authorized Official Telephone | 7738253336 |
| 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 |
|---|---|
| Edenbrook of Beloit | Doing Business As Name - Organization |
| Street Address |
1905 W HART RD |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184641532 | Christin J Brillhart | Occupational Therapist | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2006-07-15 |
| 1811518657 | Kecia Thompsongordon | Physical Therapy Assistant | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2020-05-04 |
| 1427679430 | Erica Duerst | Occupational Therapist | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2020-04-30 |
| 1912469149 | Trisha S Kloos | Physical Therapy Assistant | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2019-04-05 |
| 1124599303 | Beloit Operations LLC | Skilled Nursing Facility | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2018-12-16 |
| 1023599347 | Katarina Djurica | Occupational Therapy Assistant | 1905 W Hart Rd, Beloit, WI 53511 | 2018-08-24 |
| 1295252492 | Nsh Beloit LLC | Skilled Nursing Facility | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2017-08-28 |
| 1275922148 | Fmg West Hart Road Wisconsin LLC | Skilled Nursing Facility | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2015-01-15 |
| 1669889549 | Ashley Giannini | Speech-Language Pathologist | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2014-07-12 |
| 1841610599 | Kelly Bolli | Occupational Therapist | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2014-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| 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 |
|---|---|---|---|---|
| 1417933656 | Hilltop Lodge, Inc. | Skilled Nursing Facility | 815 N. Independence Ave, Beloit, KS 67420-0467 | 2005-12-20 |
| 1669477659 | Lj IIi Health Management Inc. | Skilled Nursing Facility | 2121 Pioneer Dr, Beloit, WI 53511-3025 | 2005-06-16 |
| 1730780727 | Hilltop Lodge Health and Rehabilitation Center LLC | Skilled Nursing Facility | 815 N Independence Ave, Beloit, KS 67420-1639 | 2020-11-05 |
| 1124599303 | Beloit Operations LLC | Skilled Nursing Facility | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2018-12-16 |
| 1295252492 | Nsh Beloit LLC | Skilled Nursing Facility | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2017-08-28 |
| 1275922148 | Fmg West Hart Road Wisconsin LLC | Skilled Nursing Facility | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2015-01-15 |
| 1669755104 | Aron Sandquist | Skilled Nursing Facility | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2011-09-21 |
| 1356413017 | Beloit Care LLC | Skilled Nursing Facility | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962369 | Heritage Assisted Living, LLC | Skilled Nursing Facility | 5020 S 107th St, Greenfield, WI 53228-3267 | 2020-04-30 |
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1831693936 | Golden Years Nursing Home, Inc. | Skilled Nursing Facility | 611 Harmony Dr, Lake Geneva, WI 53147-8800 | 2018-03-22 |
| 1801302732 | Oak Park Place of Janesville, LLC | Skilled Nursing Facility | 700 Myrtle Way, Janesville, WI 53545-9101 | 2017-12-14 |
| 1235674839 | Zachary Rader | Skilled Nursing Facility | 645 N Church St, Elkhorn, WI 53121-2204 | 2017-01-05 |
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 1316492317 | Darcy Christiansen | Skilled Nursing Facility | 4427 E Pic A Dilly Dr, Janesville, WI 53546-9606 | 2016-08-19 |
| 1366895583 | Jeffrey Alan Weinshrott | Skilled Nursing Facility | 336 Wisconsin Ave, Sheboygan, WI 53081-4183 | 2016-07-22 |
| 1720433378 | Kendra Meyers | Skilled Nursing Facility | 1806 N Hume Ave Apt 4, Marshfield, WI 54449-1677 | 2016-05-02 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
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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.