Beechwood Rest Home

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0956 Issued in WI

Legal business name

BEECHWOOD REST HOME

Practice address

N1495W Highway a
Kewaskum, WI 53040-9205

Phone

(920) 994-4717

Fax

(920) 994-4932

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Scott R Rammer

Title

Nha

Phone

(920) 994-4717

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568686129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1495W HIGHWAY A",
            "city": "KEWASKUM",
            "state": "WI",
            "postal_code": "530409205",
            "telephone_number": "920-994-4717",
            "fax_number": "920-994-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N1495W HIGHWAY A",
            "city": "KEWASKUM",
            "state": "WI",
            "postal_code": "530409205",
            "telephone_number": "920-994-4717",
            "fax_number": "920-994-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECHWOOD REST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMMER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "NHA",
        "authorized_official_telephone_number": "920-994-4717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WI",
            "license": "0956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20008600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Lynn Anderson, RN
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• Gregory Bell
• Lori Bersch, LMT
• Biotrust Health
• Sara Marie Bonlender, LPN
• Kathryn Anne Bublitz, PHARMD

• Nursing Facility/Intermediate Care Facility in Kewaskum, WI
• Providers in Kewaskum, WI by specialty
• Nursing Facility/Intermediate Care Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.