BENEVOLENT CORPORATION CEDAR COMMUNITY (NPI# 1740332907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740332907 |
| Entity Type | Organization |
| Organization Name | BENEVOLENT CORPORATION CEDAR COMMUNITY |
| Other Organization Name | CEDAR COMMUNITY HOME HEALTH AGENCY |
| Practice Address |
5595 County Road Z West Bend WI 53095-9224 |
| Practice Telephone | 2623062100 |
| Practice Fax Number | 2623062101 |
| Mailing Telephone | 2623062100 |
| Mailing Fax Number | 2623062101 |
| Enumeration Date | 2007-01-17 |
| 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 | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Cedar Commity Home Health Agency | Doing Business As Name - Organization |
| Cedar Community Home Health Agency | 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 |
| 1194877902 | Benevolent Corporation Cedar Community | Hospice Care, Community Based | 5595 County Road Z, West Bend, WI 53095-9224 | 2007-01-18 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596646 | International Quality Homecare of Wisconsin LLC | Home Health | 2395 W Washington St Ste 103, West Bend, WI 53095-2147 | 2019-03-05 |
| 1861888422 | International Quality Homecare Corp | Home Health | 2395 W Washington St, West Bend, WI 53095-2147 | 2015-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245561 | Comfort Care 4 U, LLC | Home Health | 7701 Mineral Point Rd Ste A, Madison, WI 53717-2027 | 2020-11-04 |
| 1639779754 | Wisconsin Independent Living Solutions LLC | Home Health | 817 Colton St, Waukesha, WI 53186-5126 | 2020-10-28 |
| 1821698341 | Jaqualynne Postuchow | Home Health | 8739 Smith St, Sayner, WI 54560-9696 | 2020-10-26 |
| 1467068767 | Lashonda Nicole Simmons | Home Health | 24th Street, 1812 North, Milwaukee, WI 53205-1410 | 2020-09-22 |
| 1124634332 | Nehemiah House, LLC | Home Health | 3901 N 21st Street, Milwaukee, WI 53206 | 2020-09-22 |
| 1699389593 | Infinity Care Services LLC | Home Health | 9203 W Bluemound Rd Ste A, Milwaukee, WI 53226-4484 | 2020-09-08 |
| 1982218426 | Homecare Pal, LLC | Home Health | 2916 Marketplace Dr Ste 209, Fitchburg, WI 53719-5327 | 2020-09-02 |
| 1366053118 | Adron Health Care, LLC | Home Health | 9117 S 20th St, Oak Creek, WI 53154-7465 | 2020-08-14 |
| 1790396521 | Faithful Living Home Health Care Agency LLC | Home Health | 3846 W Wisconsin Ave Apt 110, Milwaukee, WI 53208-3175 | 2020-08-14 |
| 1770194847 | Faithful Hands PCa LLC | Home Health | 8008 W Capitol Dr, Milwaukee, WI 53222-1918 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
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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.