JB Kenosha Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

JB KENOSHA HEALTHCARE LLC

Doing business as

Kenosha Estates Rehab & Care Center

Practice address

1703 60TH St
Kenosha, WI 53140-3986

Phone

(262) 658-4125

Fax

(262) 658-2196

NPI assigned

Oct 7, 2014

Last updated

Oct 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian Levinson

Title

Manager

Phone

(847) 675-6666

Specialties & licenses 1

Addresses

Other names 1

• Kenosha Estates Rehab & Care Center Doing business as

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1205239001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 60TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403986",
            "telephone_number": "262-658-4125",
            "fax_number": "262-658-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 60TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403986",
            "telephone_number": "262-658-4125",
            "fax_number": "262-658-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB KENOSHA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "LEVINSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-675-6666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenosha Estates Rehab & Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kenosha Estates Rehab & Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madonna Eileen Janas-Foreman, RPH
• Meghan Kelley Janer
• Janice Finerty LCSW LLC
• Pete Janovicz, DDS
• Danielle Marie Jarvis, APSW
• Jeanne S. Vedder M.D SC
• Krystal K Jecevicus, P.T.A.
• Marijan Jednacak, MD
• Kenneth Jenks
• John Alexander Jennings, O.D.

• Skilled Nursing Facility in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.