St. Joseph'S Home Of Our Lady Of Mt Carmel Inc

LBN: St. Joseph'S Home Of Our Lady Of Mt Carmel Inc
St. Joseph'S Home Of Our Lady Of Mt Carmel Inc is an health care organization with primary practice located at 9244 29Th Ave , Kenosha WI 53143-6602. 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. St. Joseph'S Home Of Our Lady Of Mt Carmel Inc can be contacted via phone (262) 694-0080, or through Eidsor, Susie K via phone (262) 925-8104.

Contact Information

Primary practice address
9244 29Th Ave Kenosha WI 53143-6602
Phone: (262) 694-0080
Fax: (262) 925-8137
Website:
Map and Directions
Authorized official contact:
Name: Eidsor, Susie K
Phone: (262) 925-8104

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2332 Wisconsin

Profile Details

NPI number 1740270735
LBN Legal business name St. Joseph'S Home Of Our Lady Of Mt Carmel Inc
DBA Doing business as
Authorized official Eidsor, Susie K
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2005
Last updated Aug 11th, 2011 - about 14 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 1740270735 NPPES
Wisconsin MEDICAID 20154500

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