Bedrock HCS at Elmwood Ave Wi Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BEDROCK HCS AT ELMWOOD AVE WI OPCO LLC

Practice address

6201 Elmwood Ave
Middleton, WI 53562-3319

Phone

(608) 831-8300

NPI assigned

Jun 1, 2022

Last updated

Jun 1, 2022By 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

Ashley Kohls

Title

Operations

Phone

(414) 750-6987

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1841939428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 OBERLIN AVE N STE 6",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014535",
            "telephone_number": "732-800-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 ELMWOOD AVE",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623319",
            "telephone_number": "608-831-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDROCK HCS AT ELMWOOD AVE WI OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "KOHLS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "414-750-6987"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Barthel, PA
• Megan Bartkowski
• Katherine Merideth Bates
• Viren S Bavishi, DO
• Lindsey Ann Beatty
• Skyler W Belcourt, M.S.
• Ben Consulting
• Nathanael David Benassi, D.D.S.
• Sarah Bentrud
• Halle Berg, RN

• Skilled Nursing Facility in Middleton, WI
• Providers in Middleton, 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 Jun 1, 2022; 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.