St. Mary'S Home For The Aged, Inc

LBN: St. Mary'S Home For The Aged, Inc
St. Mary'S Home For The Aged, Inc is an health care organization with primary practice located at 1635 S 21St St , Manitowoc WI 54220-6380. 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. Mary'S Home For The Aged, Inc can be contacted via phone (920) 684-7171, or through Soltys, Frank via phone (920) 684-7171.

Contact Information

Primary practice address
1635 S 21St St Manitowoc WI 54220-6380
Phone: (920) 684-7171
Fax: (920) 684-0118
Website:
Map and Directions
Authorized official contact:
Name: Soltys, Frank NHA, MSN
Phone: (920) 684-7171

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 540 Wisconsin

Profile Details

NPI number 1609882448
LBN Legal business name St. Mary'S Home For The Aged, Inc
DBA Doing business as
Authorized official Soltys, Frank NHA, MSN
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2006
Last updated Dec 15th, 2015 - about 10 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 1609882448 NPPES
Wisconsin MEDICAID 20136700

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