Organization Active NPI

Arcadia Nursing Home

Doing business as Catholic Residential Services, Inc.

  • Skilled Nursing Facility
  • Arcadia, WI
National Provider Identifier
1093068256
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ARCADIA NURSING HOME
Doing business as
Catholic Residential Services, Inc.
Practice address
464 S Saint Joseph Ave
Arcadia, WI 54612-1401
Phone
(608) 323-3341
Fax
(608) 323-3694
NPI assigned
Oct 24, 2012
Last updated
Oct 24, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC RESIDENTIAL SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Mr. James C Gajewski
Title
President
Phone
(608) 784-5329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

464 S Saint Joseph Ave
Arcadia, WI 54612-1401

Mailing address

464 S Saint Joseph Ave
Arcadia, WI 54612-1401
Phone (608) 323-3341

Other names 1

  • Catholic Residential Services, Inc. Doing business as

National Provider Directory

National Provider Directory
Part of
Riverdale Marriage Fa

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1093068256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 S SAINT JOSEPH AVE",
            "city": "ARCADIA",
            "state": "WI",
            "postal_code": "546121401",
            "telephone_number": "608-323-3341",
            "fax_number": "608-323-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 S SAINT JOSEPH AVE",
            "city": "ARCADIA",
            "state": "WI",
            "postal_code": "546121401",
            "telephone_number": "608-323-3341",
            "fax_number": "608-323-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADIA NURSING HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC RESIDENTIAL SERVICES, INC.",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "GAJEWSKI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-784-5329",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Residential Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.