The Manor of Kenosha LLC
NPI 1730665159ActiveOrganization· Skilled Nursing Facility· Kenosha, WI
Skilled Nursing Facility in Kenosha, Wisconsin, registered in NPPES in July 2018. The authorized official on file is David Merzel, Cfo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1730665159 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 18, 2018 |
| Last updated in NPPES | Jun 3, 2026 |
| Certified by provider | Jun 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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