OrganizationActive
Ph Kenosha LLC
NPI 1609173590 · Skilled Nursing Facility · Kenosha, WI
Ph Kenosha LLC is a Skilled Nursing Facility organization in Kenosha, WI (NPI 1609173590).
Provider details
- NPI number
- 1609173590
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Benjamin Klein, Member(847) 329-4100
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1703 60th St
Kenosha, WI 53140-3986
Phone: (262) 658-4125
Approximate (ZIP-level) locationGet directions
Mailing address
7444 Long Ave
Skokie, IL 60077-3214
Other names (DBA / former)
- Doing business as
- Kenosha Estates Living and Care Center
Registry dates
- Enumerated
- 2011-02-11
- Last updated
- 2011-02-11
Frequently asked questions
- What is Ph Kenosha LLC's NPI number?
- Ph Kenosha LLC's National Provider Identifier (NPI) is 1609173590, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ph Kenosha LLC?
- Ph Kenosha LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Ph Kenosha LLC located?
- Ph Kenosha LLC's practice location on file with NPPES is 1703 60th St, Kenosha, WI 53140-3986.
- What is Ph Kenosha LLC's phone number?
- The practice phone number listed in the NPPES registry for Ph Kenosha LLC is (262) 658-4125.
- Who is the authorized official for Ph Kenosha LLC?
- The authorized official listed on Ph Kenosha LLC's NPPES record is Benjamin Klein, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ph Kenosha LLC's NPI active?
- Yes — Ph Kenosha LLC's NPI (1609173590) is active in the NPPES registry as of the last update on 2011-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.