Provider Demographics
NPI:1851149488
Name:BESTCARE RESIDENCE LLC
Entity type:Organization
Organization Name:BESTCARE RESIDENCE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:FAISAL
Authorized Official - Middle Name:ABDULRAHMAN
Authorized Official - Last Name:AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-417-4888
Mailing Address - Street 1:980 BRUCE ST
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-1084
Mailing Address - Country:US
Mailing Address - Phone:612-322-4302
Mailing Address - Fax:
Practice Address - Street 1:980 BRUCE ST
Practice Address - Street 2:
Practice Address - City:SUN PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53590-1084
Practice Address - Country:US
Practice Address - Phone:612-322-4302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility