Bedrock Hcs at Beaver Dam LLC
NPI 1679124705ActiveOrganization· Skilled Nursing Facility· Beaver Dam, WI
Skilled Nursing Facility in Beaver Dam, Wisconsin, registered in NPPES in September 2019. The authorized official on file is Esther Tillim, Bookkeeper. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1679124705 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2019 |
| Last updated in NPPES | Sep 20, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (WI) |
|---|
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