Active NPI
Arcadia Nursing Home
Doing business as Catholic Residential Services, Inc.
- Skilled Nursing Facility
- Arcadia, WI
National Provider Identifier
1093068256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2012
- Organization subpart
- Yes
- Parent organization
- CATHOLIC RESIDENTIAL SERVICES, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
National Provider Directory
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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.