BENEVOLENT CORPORATION CEDAR COMMUNITY NPI 1194877902

NPI Information

  • NPI: 1194877902
  • Provider Name: BENEVOLENT CORPORATION CEDAR COMMUNITY
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • Doing Business As: CEDAR COMMUNITY HOSPICE
  • CLIA Number: 52D0039121
  • Address: 5595 COUNTY ROAD Z
    WEST BEND, WI
    ZIP 53095
  • Phone: (262) 306-2691

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NPI Details

BENEVOLENT CORPORATION CEDAR COMMUNITY is a hospice care community based in West Bend, WI. BENEVOLENT CORPORATION CEDAR COMMUNITY NPI is 1194877902. The provider is registered as an organization entity type.
The provider Is Doing Business As Cedar Community Hospice.

The provider's business location address is:

5595 COUNTY ROAD Z
WEST BEND, WI
ZIP 53095-224
Phone: (262) 306-2691
Fax: (262) 306-2689

The provider's authorized official is Joseph T Pichler .
The authorized official title is Vice President Of Finance and has the following contact phone number (262) 306-4212.

The CLIA number assigned to this NPI record is 52D0039121 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 5/9/2019.

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
1251G00000XHospice Care, Community Based2009WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
143190100MEDICAIDWISCONSIN

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: 11/21/2025

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