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BEDROCK HCS AT GREENDALE LLC NPI 1558912691


NPI Information

NPI: 1558912691
Provider Name: BEDROCK HCS AT GREENDALE LLC
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

CLIA Number: 52D0888883

Address:
5404 W LOOMIS RD
GREENDALE, WI
ZIP 53129
Phone: (414) 421-0088
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BEDROCK HCS AT GREENDALE LLC is a nursing care and pediatric skilled nursing facility in Greendale, WI. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. BEDROCK HCS AT GREENDALE LLC NPI is 1558912691. The provider is registered as an organization entity type.

The provider's business location address is:

5404 W LOOMIS RD
GREENDALE, WI
ZIP 53129-411
Phone: (414) 421-0088

The provider's authorized official is Esther Tillim .
The authorized official title is Bookkeeper and has the following contact phone number (732) 328-7499.

The CLIA number assigned to this NPI record is 52D0888883 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2019 and was last updated on 9/20/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13140N1450XSkilled Nursing FacilityNursing Care, PediatricYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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