SHERIDAN MEDICAL COMPLEX
NPI 1356767842
Skilled Nursing Facility in Kenosha, WI

Active since March 09, 2014CLIA 52D0671561 · Waiver
8400 SHERIDAN RD, KENOSHA, WI 53143(262) 658-4141(262) 658-0618 Get Directions Write a Review

NPPES record last updated: December 2, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sheridan Medical Complex NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHERIDAN MEDICAL COMPLEX (NPI 1356767842) is a healthcare organization registered as a skilled nursing facility in Kenosha, Wisconsin and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Judah Bienstock, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1356767842
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSHERIDAN MEDICAL LLC
Location Address8400 SHERIDAN RDKenosha, WI 53143-6327
Mailing Address8400 Sheridan RdKenosha, WI 53143-6327 · (262) 658-4141 · Fax (262) 658-0618
Fax(262) 658-0618
Organization SubpartNo
Authorized OfficialJudah BienstockManaging Member · (314) 631-3000
Enumeration DateMarch 9, 2014
Last NPPES UpdateDecember 2, 2015
NPI 1356767842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

8400 SHERIDAN RD, Kenosha, WI 53143

Other Names 1

Doing Business AsSheridan Medical Complex

Other Identifiers 1

Medicare OSCAR/certification525318WI

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0671561

Sheridan Health And Rehabilitation · Kenosha, WI
Active · expires Aug 31, 2026
CLIA Number52D0671561
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorNicole L. Anderson
Laboratory Phone(262) 658-4141
Laboratory LocationSheridan Health And Rehabilitation8400 Sheridan Rd, Kenosha, WI 53143
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
8400 SHERIDAN RD
KENOSHA, WI 53143
Speech-Language Pathologist
8400 SHERIDAN RD
KENOSHA, WI 53143
Physical Therapy Assistant
8400 SHERIDAN RD
KENOSHA, WI 53143
Speech-Language Pathologist
8400 SHERIDAN RD
KENOSHA, WI 53143
Physical Therapy Assistant
8400 SHERIDAN RD
KENOSHA, WI 53143
Occupational Therapy Assistant
8400 SHERIDAN RD
KENOSHA, WI 53143
Speech-Language Pathologist
8400 SHERIDAN RD
KENOSHA, WI 53143
Speech-Language Pathologist
8400 SHERIDAN RD
KENOSHA, WI 53143

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356767842, enumerated as an "organization" on March 09, 2014.

The provider is located at 8400 SHERIDAN RD KENOSHA, WI 53143 and the phone number is (262) 658-4141.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.