St Croix Valley Shared Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

10061-24 Issued in WI

Legal business name

ST CROIX VALLEY SHARED SERVICES

Practice address

2231 US Highway 12
Baldwin, WI 54002-3269

Phone

(715) 684-5020

NPI assigned

Jun 11, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christa Walz, MA PT

Title

Physical Therapist

Phone

(715) 977-0239

Specialties & licenses 1

Addresses

Tax ID family

Adoray Home Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• St. Croix Valley Shared Services, Inc.

  • Community Based Hospice Care Agency
  • Baldwin, WI
  • NPI 1578774014
  NPD tax ID
• St. Croix Valley Shared Services, Inc.

  • Home Health Agency
  • Baldwin, WI
  • NPI 1689679094
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Ann Thompson, OTR

  • Occupational Therapist
  • Baldwin, WI
  • NPI 1538580675
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1083976625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 US HIGHWAY 12",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540023269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 US HIGHWAY 12",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540023269",
            "telephone_number": "715-684-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CROIX VALLEY SHARED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "WALZ",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "715-977-0239",
        "authorized_official_credential": "MA PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "10061-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Shaver, CNP
• Kaitlyn Sloan, APNP
• Soderberg Eye Care Center SC
• Dennis Raymond Soderberg, O.D.
• Elaine Marie Sorensen, L..P.N.
• St. Croix Orthopaedics, P.a.
• St. Croix Valley Shared Services, Inc.
• St. Croix Valley Shared Services, Inc.
• Braeden Nelson St.Pierre, PTA
• Holly Stainer, APNP

• Home Health Agency in Baldwin, WI
• Providers in Baldwin, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.