St Paul Elder Services, Inc
LBN: St Paul Elder Services, Inc
St Paul Elder Services, Inc is an health care organization with primary practice located at 316 E 14Th St , Kaukauna WI 54130-3304. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
St Paul Elder Services, Inc can be contacted via phone (920) 766-6020, or through Herman, Brian via phone (920) 766-6020.
Contact Information
Primary practice address
316 E 14Th St
Kaukauna WI 54130-3304
Phone: (920) 766-6020
Fax: (920) 766-9161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Day Care | 261QA0600X | ||
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 2988 | Wisconsin |
Profile Details
| NPI number | 1093786543 |
|---|---|
| LBN Legal business name | St Paul Elder Services, Inc |
| DBA Doing business as | |
| Authorized official | Herman, Brian |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Feb 26th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093786543 | NPPES |
| Wisconsin | Other | 0010491 | ADULT DAY CARE LICENSE |
| Wisconsin | MEDICAID | 20164800 | ADULT DAY CARE LICENSE |
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