St Joseph Residence Inc in New London - Skilled Nursing Facility
St Joseph Residence Inc - NPI 1073510632
St Joseph Residence Inc is a Skilled Nursing Facility in New London, Wisconsin. St Joseph Residence Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for St Joseph Residence Inc is 1073510632. The last update date is 2020-08-22.
St Joseph Residence Inc's current location address is 107 E Beckert Road, New London, Wisconsin. You can contact this provider via phone number 9209825354 and fax number 9209825420. The mailing address for St Joseph Residence Inc is 107 E Beckert Road, New London, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Joseph Residence Inc |
|---|---|
| Address | 107 E Beckert Road, New London, Wisconsin |
| Phone Number | 9209825354 |
| Fax Number | 9209825420 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Orr W Daniel |
| Telephone Number | 9209825354 |
NPI Number Detail
| NPI Number | 1073510632 |
|---|---|
| Provider Enumeration Date | 2005-06-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 107 E Beckert Road |
|---|---|
| City | New London |
| State | Wisconsin (WI) |
| Post Code | 549612598 |
| Phone Number | 9209825354 |
| Fax Number | 9209825420 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 2040 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20132400 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to St Joseph Residence Inc by the Centers for Medicare & Medicaid Services?
The St Joseph Residence Inc has been issued the NPI (National Provider Identifier) 1073510632, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where St Joseph Residence Inc is geographically located?
The St Joseph Residence Inc is physically situated at the following location: 107 E Beckert Road, New London, WI, 549612598.
What is St Joseph Residence Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for St Joseph Residence Inc is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073510632 to St Joseph Residence Inc?
The Centers for Medicare & Medicaid Services originally issued the 1073510632 to St Joseph Residence Inc on 2005-06-28.
When was the information pertaining to St Joseph Residence Inc most recently updated or revised?
The details related to St Joseph Residence Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.