St. Elizabeth Nursing Home

LBN: Sisters Of Charity Of Our Lady Mother Of The Church
St. Elizabeth Nursing Home is an health care organization with primary practice located at 109 S Atwood Ave , Janesville WI 53545-4098. 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. Sisters Of Charity Of Our Lady Mother Of The Church can be contacted via phone (608) 752-6709, or through Chwala, Nicole via phone (920) 206-4983.

Contact Information

Primary practice address
109 S Atwood Ave Janesville WI 53545-4098
Fax:
Website:
Authorized official contact:
Name: Chwala, Nicole

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0624 Wisconsin

Profile Details

NPI number 1598766784
LBN Legal business name Sisters Of Charity Of Our Lady Mother Of The Church
DBA Doing business as St. Elizabeth Nursing Home
Authorized official Chwala, Nicole
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2005
Last updated Aug 8th, 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 1598766784 NPPES
Wisconsin MEDICAID 20167600

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