Santa Maria Nursing Home, Inc.

LBN: Santa Maria Nursing Home, Inc.
Santa Maria Nursing Home, Inc. is an health care organization with primary practice located at 430 S Clay St , Green Bay WI 54301-3807. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Santa Maria Nursing Home, Inc. can be contacted via phone (920) 432-5231, or through Desotell, Helen via phone (920) 432-5231.

Contact Information

Primary practice address
430 S Clay St Green Bay WI 54301-3807
Phone: (920) 432-5231
Fax: (920) 432-9881
Website:
Map and Directions
Authorized official contact:
Name: Desotell, Helen NHA
Phone: (920) 432-5231

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1134 Wisconsin

Profile Details

NPI number 1578559456
LBN Legal business name Santa Maria Nursing Home, Inc.
DBA Doing business as
Authorized official Desotell, Helen NHA
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578559456 NPPES
Wisconsin Other 1134 LICENSE NUMBER
Wisconsin MEDICAID 20152400 LICENSE NUMBER

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