Bedrock Hcs at Beaver Dam LLC
NPI 1679124705 · Skilled Nursing Facility · Beaver Dam, WI
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bedrock Hcs at Beaver Dam LLC is a Skilled Nursing Facility organization in Beaver Dam, WI (NPI 1679124705).
Provider details
- NPI number
- 1679124705
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Esther Tillim, Bookkeeper(732) 328-7499
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Registry dates
- Enumerated
- 2019-09-20
- Last updated
- 2019-09-20
Frequently asked questions
- What is Bedrock Hcs at Beaver Dam LLC's NPI number?
- Bedrock Hcs at Beaver Dam LLC's National Provider Identifier (NPI) is 1679124705, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bedrock Hcs at Beaver Dam LLC?
- Bedrock Hcs at Beaver Dam LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Bedrock Hcs at Beaver Dam LLC located?
- Bedrock Hcs at Beaver Dam LLC's practice location on file with NPPES is 410 Roedl Ct, Beaver Dam, WI 53916-2934.
- What is Bedrock Hcs at Beaver Dam LLC's phone number?
- The practice phone number listed in the NPPES registry for Bedrock Hcs at Beaver Dam LLC is (920) 887-7191.
- Does Bedrock Hcs at Beaver Dam LLC accept Medicare?
- Bedrock Hcs at Beaver Dam LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bedrock Hcs at Beaver Dam LLC?
- The authorized official listed on Bedrock Hcs at Beaver Dam LLC's NPPES record is Esther Tillim, Bookkeeper. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bedrock Hcs at Beaver Dam LLC's NPI active?
- Yes — Bedrock Hcs at Beaver Dam LLC's NPI (1679124705) is active in the NPPES registry as of the last update on 2019-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.