St Paul Elder Services, Inc in Kaukauna - Skilled Nursing Facility

St Paul Elder Services, Inc - NPI 1093786543

St Paul Elder Services, Inc is a Skilled Nursing Facility in Kaukauna, Wisconsin. St Paul Elder Services, Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for St Paul Elder Services, Inc is 1093786543. The last update date is 2021-02-26.

St Paul Elder Services, Inc's current location address is 316 E 14th St, Kaukauna, Wisconsin. You can contact this provider via phone number 9207666020 and fax number 9207669161. The mailing address for St Paul Elder Services, Inc is 316 E 14th St, Kaukauna, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization St Paul Elder Services, Inc
Address 316 E 14th St, Kaukauna, Wisconsin
Phone Number 9207666020
Fax Number 9207669161
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name Herman Brian
Telephone Number 9207666020

NPI Number Detail

NPI Number 1093786543
Provider Enumeration Date 2006-01-31
Last Updated Date 2021-02-26

Provider Mailing Address Detail

Address 316 E 14th St
City Kaukauna
State Wisconsin (WI)
Post Code 541303304
Phone Number 9207666020
Fax Number 9207669161

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 2988
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10491 WI ADULT DAY CARE LICENSE
20164800 WI --

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FAQs about St Paul Elder Services, Inc

What is the St Paul Elder Services, Inc's 1093786543?

The St Paul Elder Services, Inc's NPI (National Provider Identifier) Number is 1093786543. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the St Paul Elder Services, Inc located?

The St Paul Elder Services, Inc is located at 316 E 14Th St, Kaukauna, WI 541303304.

What is St Paul Elder Services, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for St Paul Elder Services, Inc is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1093786543 to St Paul Elder Services, Inc?

The St Paul Elder Services, Inc received its 1093786543 assignment from the Centers for Medicare & Medicaid Services on 2006-01-31.

When was the information regarding St Paul Elder Services, Inc most recently updated?

The details pertaining to the St Paul Elder Services, Inc, including its address, specialty, and other relevant information, were last refreshed on 2021-02-26.

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