Benevolent Corporation Cedar Community

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

2009 Issued in WI

Legal business name

BENEVOLENT CORPORATION CEDAR COMMUNITY

Practice address

5595 County Road Z
West Bend, WI 53095-9224

Phone

(262) 306-2691

Fax

(262) 306-2689

NPI assigned

Jan 18, 2007

Organization subpart

Yes

Parent organization

BENEVOLENT CORPORATION CEDAR COMMUNITYAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joseph T Pichler

Title

Vice President of Finance

Phone

(262) 306-4212

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cedar Community Hospice Doing business as

Part of

Benevolent Corporation Cedar Community

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Benevolent Corporation Cedar Community

  • Assisted Living Facility
  • West Bend, WI
  • NPI 1972054138
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1194877902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5595 COUNTY ROAD Z",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959224",
            "telephone_number": "262-306-2100",
            "fax_number": "262-306-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5595 COUNTY ROAD Z",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959224",
            "telephone_number": "262-306-2691",
            "fax_number": "262-306-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEVOLENT CORPORATION CEDAR COMMUNITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENEVOLENT CORPORATION CEDAR COMMUNITY",
        "enumeration_date": "2007-01-18",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "PICHLER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "262-306-4212"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WI",
            "license": "2009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43190100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Community Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John S Belland, DC
• Alison Blegen Below, D.M.D.
• Terrance J Benda, DPM
• Janel Benedum, APSW
• Benevolent Corporation Cedar Community
• Benevolent Corporation Cedar Community
• Benevolent Corporation Cedar Community
• Benevolent Corporation Cedar Community
• Benevolent Corporation Cedar Community
• Benevolent Corporation Cedar Community

• All providers in West Bend, WI
• Community Based Hospice Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.