Villa Loretto

LBN: Sister Servants Of Christ The King Inc
Villa Loretto is an health care organization with primary practice located at N8114 County Road Ww , Mount Calvary WI 53057-9525. 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. Sister Servants Of Christ The King Inc can be contacted via phone (920) 753-3211, or through Mabry, Jennifer via phone (920) 753-3211.

Contact Information

Primary practice address
N8114 County Road Ww Mount Calvary WI 53057-9525
Phone: (920) 753-3211
Fax: (920) 753-3100
Website:
Map and Directions
Authorized official contact:
Name: Mabry, Jennifer NHA
Phone: (920) 753-3211

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1165 Wisconsin

Profile Details

NPI number 1801892997
LBN Legal business name Sister Servants Of Christ The King Inc
DBA Doing business as Villa Loretto
Authorized official Mabry, Jennifer NHA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2005
Last updated Jun 21st, 2022 - about 2 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 1801892997 NPPES
Wisconsin MEDICAID 20158200

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