Benevolent Corporation Cedar Community

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

BENEVOLENT CORPORATION CEDAR COMMUNITY

Practice address

113 Cedar Ridge Dr
West Bend, WI 53095-3654

Phone

(262) 338-8377

Fax

(262) 338-9555

NPI assigned

Dec 24, 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

Mr. Christopher Cherney

Title

Cfo

Phone

(262) 306-4212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Benevolent Corporation Cedar Community

  • Assisted Living Facility
  • West Bend, WI
  • NPI 1487654935

  O20080204000012

  Same enrollment
• Benevolent Corporation Cedar Community

  • Skilled Nursing Facility
  • West Bend, WI
  • NPI 1811997695

  O20080204000012

  Same enrollment
• Benevolent Corporation Cedar Community

  • Assisted Living Facility
  • West Bend, WI
  • NPI 1851391304

  O20080204000012

  Same enrollment

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": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513209600000",
    "number": "1194909341",
    "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": "262-306-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CEDAR RIDGE DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953654",
            "telephone_number": "262-338-8377",
            "fax_number": "262-338-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEVOLENT CORPORATION CEDAR COMMUNITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENEVOLENT CORPORATION CEDAR COMMUNITY",
        "enumeration_date": "2007-12-24",
        "last_updated": "2017-12-14",
        "status": "A",
        "authorized_official_last_name": "CHERNEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "262-306-4212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Benevolent Corporation Cedar Community

• Custodial Care Facility in West Bend, WI
• Providers in West Bend, WI by specialty
• Custodial Care Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.