NPI 1194877902 · live from the CMS NPI Registry
Benevolent Corporation Cedar Community
Hospice Care, Community Based in West Bend, WI. National Provider Identifier 1194877902, active.
NPI record
| NPI | 1194877902 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 5595 County Road Z, West Bend, WI 53095 |
| Practice phone | 262-306-2691 |
| Enumerated | January 18, 2007 |
| Last updated | May 9, 2019 |
| Authorized official | Joseph Pichler, Vice President Of Finance |
| Other names | Cedar Community Hospice |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | 2009 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.