Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ph Kenosha LLC

Organization Skilled Nursing Facility · NPI 1609173590

Ph Kenosha LLC is a Skilled Nursing Facility in Kenosha, Wisconsin. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1703 60th St
Kenosha, WI 53140-3986
Phone: (262) 658-4125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1609173590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Klein — Member · (847) 329-4100
Other names Kenosha Estates Living And Care Center
NPI enumeratedFebruary 11, 2011
Last updated in NPPESFebruary 11, 2011
Mailing address7444 Long Ave, Skokie, IL 60077-3214

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