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Contact Information

THE BAY AT WATERS EDGE HEALTH AND REHABILITATION LLC
3415 SHERIDAN RD
KENOSHA, WI53140
 Phone: 262-657-6175
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for THE BAY AT WATERS EDGE HEALTH AND REHABILITATION LLC

NPI Number 1700312436
LBN Legal business name THE BAY AT WATERS EDGE HEALTH AND REHABILITATION LLC
Authorized official MENACHEM RUVEL - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/01/2017
Last updated 09/08/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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