Organization · Type 2 NPI

JB Kenosha Healthcare LLC

Skilled Nursing Facility · Kenosha, WI

NPI number 1205239001 Active

Practice location

1703 60th St
Kenosha, WI 53140-3986

Fax (262) 658-2196

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

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 r…

14 other providers at this address

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NPI record

NPI: 1205239001
Entity type: Organization (Type 2)
Issued: Oct 7, 2014
Last updated: Oct 30, 2020
Status: Active

Other names

<unavail>
Kenosha Estates Rehab & Care Center · doing business as
Kenosha Estates Rehab & Care Center · doing business as

Authorized official

Mr. Brian Levinson
Manager
(847) 675-6666

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205239001

JB Kenosha Healthcare LLC's National Provider Identifier is 1205239001, issued on Oct 7, 2014. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Kenosha, WI. The record was last updated on Oct 30, 2020.