Organization · Type 2 NPI

Benevolent Corporation Cedar Community

Skilled Nursing Facility · West Bend, WI

NPI number 1811997695 Active

Practice location

5595 County Road Z
West Bend, WI 53095-9224

Fax (262) 306-2126

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	0705 (WI)

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…

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NPI record

NPI: 1811997695
Entity type: Organization (Type 2)
Issued: Jul 22, 2005
Last updated: Mar 15, 2021
Status: Active
Subpart: Yes of Benevolent Corporation Cedar Community

Other names

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Cedar Lake Health and Rehabilitation Center · doing business as

Authorized official

Joseph T Pichler
Vice President of Finance
(262) 306-4212

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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 1811997695

Benevolent Corporation Cedar Community's National Provider Identifier is 1811997695, issued on Jul 22, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in West Bend, WI. The record was last updated on Mar 15, 2021.