Active NPIOrganization

Bedrock Hcs At Beaver Dam LLC

Skilled Nursing Facility in Beaver Dam, Wisconsin

NPI Number1679124705
Practice location
410 Roedl CT, Beaver Dam, WI 53916-2934
Fax
—
Last updated
September 20, 2019

Bedrock Hcs At Beaver Dam LLC is a healthcare organization based in Beaver Dam, WI. Bedrock Hcs At Beaver Dam LLC practices in Beaver Dam, WI. The NPI Number for Bedrock Hcs At Beaver Dam LLC is 1679124705. The current practice location address for Bedrock Hcs At Beaver Dam LLC is 410 Roedl CT, Beaver Dam, WI 53916-2934 and can be reached out via phone at 920-887-7191.

Provider Profile Details

NPI Number
1679124705
Provider Name
Bedrock Hcs At Beaver Dam LLC
Provider Entity Type
Organization
Address
410 Roedl CT, Beaver Dam, WI 53916-2934
Phone Number
920-887-7191
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Esther Tillim · Bookkeeper · 732-328-7499
Provider Enumeration Date
September 20, 2019
Last Update Date
September 20, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
410 Roedl CT
Beaver Dam, WI 53916-2934
Zip
53916-2934
Phone Number
920-887-7191
Beaver Dam, WI 53916Get directions →

Provider Business Mailing Address Details

Address
Workspaces At Bitbean C/O Esther Tillim
1776 Ave Of The States Suite 302
Lakewood, NJ 08701
City
Lakewood
State
NJ
Zip
08701
Phone Number
732-328-7499

License Information

Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bedrock Hcs At Beaver Dam LLC?

The NPI number of Bedrock Hcs At Beaver Dam LLC is 1679124705. It was assigned on September 20, 2019 and is currently active in the NPPES registry.

What is the specialty of Bedrock Hcs At Beaver Dam LLC?

Bedrock Hcs At Beaver Dam LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Bedrock Hcs At Beaver Dam LLC practice?

The practice location is 410 Roedl CT, Beaver Dam, WI 53916-2934. The office can be reached at 920-887-7191 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679124705 directly on the NPPES registry website.

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