St. Francis Home Of Fond Du Lac Wisconsin, Inc

LBN: St. Francis Home Of Fond Du Lac Wisconsin, Inc
St. Francis Home Of Fond Du Lac Wisconsin, Inc is an health care organization with primary practice located at 33 Everett St , Fond Du Lac WI 54935. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. St. Francis Home Of Fond Du Lac Wisconsin, Inc can be contacted via phone (920) 926-7980, or through Trost, Douglas D. via phone (920) 926-6068.

Contact Information

Primary practice address
33 Everett St Fond Du Lac WI 54935
Phone: (920) 926-7980
Fax: (920) 923-7995
Website:
Map and Directions
Authorized official contact:
Name: Trost, Douglas D.
Phone: (920) 926-6068

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 10373 Wisconsin
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2561 Wisconsin

Profile Details

NPI number 1548259807
LBN Legal business name St. Francis Home Of Fond Du Lac Wisconsin, Inc
DBA Doing business as
Authorized official Trost, Douglas D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2005
Last updated Aug 23rd, 2018 - about 6 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 1548259807 NPPES
Wisconsin MEDICAID 20158100

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