BEVERLY ENTERPRISES - WISCONSIN INC


Address: 3129 Michigan Ave, Sheboygan, WI 53081-3062
Phone: 9204581155

BEVERLY ENTERPRISES - WISCONSIN INC (NPI# 1770530164) 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) 1770530164
Entity Type Organization
Organization Name BEVERLY ENTERPRISES - WISCONSIN INC
Other Organization Name GOLDEN LIVINGCENTER - SHEBOYGAN
Practice Address 3129 Michigan Ave
Sheboygan
WI 53081-3062
Practice Telephone 9204581155
Mailing Telephone 9204581155
Enumeration Date 2006-05-30
Last Update Date 2014-07-17
Authorized Official Name HOLLY A RASMUSSEN-JONES (SECRETARY)
Authorized Official Telephone 4792014835
Is Organization Subpart Y
Parent Organization Name BEVERLY HEALTH AND REHABILITATION SERVICES INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI 20-1232-00 05
WI SECURITY HP 525456 01

Other Provider/Organization Names

Other Name Type Code
Golden LivingCenter - Sheboygan Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1083707517 Beverly Enterprises - Wisconsin Inc Skilled Nursing Facility 10775 Nyman Ave, Hayward, WI 54843 2006-10-02
1972550176 Beverly Enterprises - Wisconsin Inc Skilled Nursing Facility 300 Race St, Wisconsin Dells, WI 53965-1822 2006-05-31
1992752380 Beverly Enterprises - Wisconsin Inc Skilled Nursing Facility 1703 60th St, Kenosha, WI 53140-3986 2006-05-30

Office Location

Street Address 3129 MICHIGAN AVE
City SHEBOYGAN
State WI
Zip Code 53081-3062

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215581871 Jean Allen Edquiban Verdaguer Speech-Language Pathologist 3129 Michigan Ave, Sheboygan, WI 53081-3062 2019-07-31
1023677465 Kaitlin Guerin Physical Therapist 3129 Michigan Ave, Sheboygan, WI 53081-3062 2019-06-10
1083126874 Jenna L Tadych Occupational Therapy Assistant 3129 Michigan Ave, Sheboygan, WI 53081-3062 2017-11-02
1750892709 Abigail Ann Amerling Physical Therapist 3129 Michigan Ave, Sheboygan, WI 53081-3062 2017-10-17
1306398573 Nsh Sheboygan LLC Skilled Nursing Facility 3129 Michigan Ave, Sheboygan, WI 53081-3062 2016-11-03
1811301591 Tracy Bantleon Physical Therapy Assistant 3129 Michigan Ave, Sheboygan, WI 53081-3062 2014-06-20
1982877346 Lisa Ann Wachowiak Occupational Therapy Assistant 3129 Michigan Ave, Sheboygan, WI 53081-3062 2008-04-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770053696 Kathy Hughes Counseling, LLC Community/Behavioral Health 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 2018-12-04
1780159004 Great Lakes Clinic and Consultants, LLC Clinic/Center 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 2018-10-13
1174032106 Laura Elizabeth Manning Registered Nurse 325 Linocln Ave, Sheboygan, WI 53081 2017-09-21
1043733686 Chasidy D Wilke Behavioral Analyst 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 2017-07-25
1700320074 Darlene Wilken Counselor 2842 S. Business Dr, Sheboygan, WI 53081 2016-12-06
1942652185 Jacob Steven Son Dentist 3555 Wasington Ave., Sheboygan, WI 53081 2016-07-12
1225491749 Cassandra Lea Loehndorf Social Worker 3321 S. 12th St., Sheboygan, WI 53081 2016-04-01
1003201112 Jason Meinhardt Dentist 2115 S Memorial Pl, Sheboygan, WI 53081 2015-04-06
1346634110 Christopher Lenz Specialist/Technologist 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 2015-03-19
1780008060 James Simac Counselor 503 Wisconsin Ave., Sheboygan, WI 53081 2014-02-07
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366895583 Jeffrey Alan Weinshrott Skilled Nursing Facility 336 Wisconsin Ave, Sheboygan, WI 53081-4183 2016-07-22
1639245558 Extendicare Homes, Inc. Skilled Nursing Facility 1902 Mead Ave, Sheboygan, WI 53081-6140 2006-11-24
1790859486 Extendicare Homes, Inc. Skilled Nursing Facility 3431 N 13th St, Sheboygan, WI 53083-2938 2006-11-17
1801968847 Lss of Sheboygan, LLC Skilled Nursing Facility 3014 Erie Ave, Sheboygan, WI 53081-3658 2006-11-14
1831197425 Sheboygan Senior Community, Inc. Skilled Nursing Facility 3505 Cty Rd. Y, Sheboygan, WI 53083-2400 2005-07-08
1639635683 Sunny Ridge Nursing and Rehabilitation Center, LLC Skilled Nursing Facility 3014 Erie Ave, Sheboygan, WI 53081-3658 2019-02-14
1750809547 Nsh Progressive LLC Skilled Nursing Facility 1902 Mead Ave, Sheboygan, WI 53081-6140 2017-09-01
1942728738 Nsh Morningside LLC Skilled Nursing Facility 3431 N 13th St, Sheboygan, WI 53083-2938 2017-09-01
1275051021 Nsh Meadow View LLC Skilled Nursing Facility 3613 S 13th St, Sheboygan, WI 53081-7253 2017-08-31
1770022998 Sunny Ridge Rehabilitation Center LLC Skilled Nursing Facility 3014 Erie Ave, Sheboygan, WI 53081-3658 2017-02-21
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Competitor

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City SHEBOYGAN
Zip Code 53081

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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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