BEVERLY HEALTH AND REHABILITIATION SERVICES, INC. (NPI# 1932156296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932156296 |
| Entity Type | Organization |
| Organization Name | BEVERLY HEALTH AND REHABILITIATION SERVICES, INC. |
| Other Organization Name | BEVERLY LIVINGCENTER - BRADLEY |
| Practice Address |
6735 W Bradley Rd Milwaukee WI 53223-3325 |
| Practice Telephone | 4143543300 |
| Mailing Telephone | 4143543300 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID G MERRELL (VICE PRESIDENT) |
| Authorized Official Telephone | 4792014840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20-1098-00 | 05 | |
| WI | SECURITY HP | 525325 | 01 |
| Other Name | Type Code |
|---|---|
| Beverly LivingCenter - Bradley | Doing Business As Name - Organization |
| Street Address |
6735 W BRADLEY RD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53223-3325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058372 | Keely Maloney | Physical Therapist | 6735 W Bradley Rd, Milwaukee, WI 53223-3325 | 2020-09-16 |
| 1508483140 | Vitae Health Medical Wisconsin LLC | Internal Medicine | 6735 W Bradley Rd, Milwaukee, WI 53223-3325 | 2020-06-30 |
| 1659912368 | Anton Russell Bansemer | Occupational Therapy Assistant | 6735 W Bradley Rd, Milwaukee, WI 53223-3325 | 2019-10-03 |
| 1912460403 | Lakesha Marion Moore | Physical Therapy Assistant | 6735 W Bradley Rd, Milwaukee, WI 53223-3325 | 2019-04-10 |
| 1043730658 | Monica Meyer | Speech-Language Pathologist | 6735 W Bradley Rd, Milwaukee, WI 53223-3325 | 2017-06-23 |
| 1023569480 | Katherine Zeidler | Occupational Therapy Assistant | 6735 W Bradley Rd, Milwaukee, WI 53223-3325 | 2016-10-20 |
| 1497206759 | Chee Her | Physical Therapy Assistant | 6735 W Bradley Rd, Milwaukee, WI 53223-3325 | 2016-10-20 |
| 1699223511 | Angela Williams | Physical Therapy Assistant | 6735 W Bradley Rd, Milwaukee, WI 53223-3325 | 2016-09-20 |
| 1902353865 | Stephanie Garcia | Speech-Language Pathologist | 6735 W Bradley Rd, Milwaukee, WI 53223-3325 | 2016-09-07 |
| 1760865166 | Ashley Anderson | Physical Therapist | 6735 W Bradley Rd, Milwaukee, WI 53223-3325 | 2015-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742206 | Jamie Brown | Home Health Aide | 8200 W. Clovernook Street, Milwaukee, WI 53223 | 2020-08-28 |
| 1730725656 | Lekecia Ferguson | Case Manager/Care Coordinator | 7970 W Glendbrook Rd, Milwaukee, WI 53223 | 2019-11-26 |
| 1457994717 | Talitha Cumi | Specialist | 6239 West Boehlke Avenue, Tiana M. Jenkins, Mlwaukee, WI 53223 | 2019-10-18 |
| 1235627498 | Letitia Dotson | Licensed Practical Nurse | 9395 N 49th St, Apt 201, Brown Deer, WI 53223 | 2018-04-24 |
| 1588176002 | Courtney Erin Tomaszewski | Occupational Therapy Assistant | 7300 W. Dean Rd, Milwaukee, WI 53223 | 2017-10-25 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1346671302 | Atlantic Home Health Care, Inc | Home Health | 5600 West Brown Deer Road, #216, Brown Deer, WI 53223 | 2013-12-02 |
| 1720415938 | Bell Therapy, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7229-7231 W. Brentwood Ave., Milwaukee, WI 53223 | 2013-10-02 |
| 1528405701 | Ground Support Logistics LLC | Driver | 8200 W Browndeer Rd, Milwaukee, WI 53223 | 2013-05-29 |
| 1801136288 | Nicole M. Rintelman | Registered Nurse | 4600 W. Schroeder Drive, Rogers Memorial Hospital, Brown Deer, WI 53223 | 2013-02-22 |
| Find all providers in zip 53223 | ||||
| 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 |
|---|---|---|---|---|
| 1780079046 | Rivershore Clinic | Skilled Nursing Facility | 3707 N. Richards St., Milwaukee Health Service, Milwaukee, WI 53212-1673 | 2015-04-03 |
| 1184943540 | Heavenly Touch Nursing | Skilled Nursing Facility | 5606 N 94th St, Milwaukee, WI 53225-2602 | 2010-05-25 |
| 1962731331 | Highland Heights | Skilled Nursing Facility | 2816 N 49th St, Milwaukee, WI 53210-1651 | 2009-12-15 |
| 1427385038 | Marys Adult Family Services LLC | Skilled Nursing Facility | 2802 N 40th St, Suite 210, Milwaukee, WI 53210-1806 | 2009-11-03 |
| 1649464645 | Independent Nurse | Skilled Nursing Facility | 1919 N 19th St, Milwaukee, WI 53205-1547 | 2007-09-02 |
| 1740482181 | Diane L Weidner | Skilled Nursing Facility | 190 W Allerton Ave, Milwaukee, WI 53207-4910 | 2007-06-05 |
| 1235355967 | Dominican Sisters Corp. St Ann Rest Home | Skilled Nursing Facility | 2020 S Muskego Ave, Milwaukee, WI 53204-3622 | 2007-04-18 |
| 1295866325 | Saint John's Communities, Inc. | Skilled Nursing Facility | 1840 N Prospect Ave, Milwaukee, WI 53202-1975 | 2007-03-08 |
| 1578612081 | Cameo Care Center Inc. | Skilled Nursing Facility | 5790 S 27th St, Milwaukee, WI 53221-4129 | 2007-01-10 |
| 1215092184 | Delphi Healthcare LLC | Skilled Nursing Facility | 2115 E Woodstock Pl, Milwaukee, WI 53202-1342 | 2006-12-22 |
| Find all providers in MILWAUKEE | ||||
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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.