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NPI Code Detail

MEDICARE: CROSSROADS CARE CENTER OF KENOSHA

MEDICARE: CROSSROADS CARE CENTER OF KENOSHA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1083127641
Entity Type Code : Organization
Provider Name (Legal Business Name) : CROSSROADS CARE CENTER OF KENOSHA
Provider Business Mailing Address
First Line : 5454 FARGO AVE
Second Line :
City : SKOKIE
State : IL
Zip : 60077-3210
Country : US
Telephone Number : 847-983-4860
Fax Number :
Provider Business Practice Location Address
First Line : 8633 32ND AVE
Second Line :
City : KENOSHA
State : WI
Zip : 53142-5187
Country : US
Telephone Number : 262-694-8300
Fax Number :
Authorized Official
Title or Position : CFO
Name : DAVID MERZEL
Credential :
Telephone Number : 847-983-4860
Provider Enumeration Date : 11/06/2017
Last Update Date : 06/03/2026

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Directions to “CROSSROADS CARE CENTER OF KENOSHA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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