Dominican Sisters Corp. St Ann Rest Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0245 Issued in WI

Legal business name

DOMINICAN SISTERS CORP. ST ANN REST HOME

Practice address

2020 S Muskego Ave
Milwaukee, WI 53204-3622

Phone

(414) 383-2630

Fax

(414) 383-0305

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Katarzyna Andrzejewska, NHA

Title

Administrator

Phone

(414) 383-2630

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1235355967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S MUSKEGO AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043622",
            "telephone_number": "414-383-2630",
            "fax_number": "414-383-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S MUSKEGO AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043622",
            "telephone_number": "414-383-2630",
            "fax_number": "414-383-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINICAN SISTERS CORP. ST ANN REST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "ANDRZEJEWSKA",
        "authorized_official_first_name": "KATARZYNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-383-2630",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "0245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME LICENSE",
            "identifier": "0245",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20007700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ildiko Magda Domanico
• Melanie Domann, DO
• Charles Dombeck, APNP
• Stephanie Jean Dominguez, PA-C
• Steven Michael Dominguez, R.N.
• Morgan Ruthann Dommisse, PA-C
• Amy Elizabeth Donahue, CGC
• Thomas William Donahue, EDS
• Tracy L Donahue, M.D.
• Yetta Donahue, R.N

• Skilled Nursing Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.