NPIMap

Organization Active NPI

St. Paul Elder Services

  • Skilled Nursing Facility
  • Kaukauna, WI
National Provider Identifier
1508015884
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4606027 Issued in WI
Legal business name
ST. PAUL ELDER SERVICES
Practice address
316 E 14TH St
Kaukauna, WI 54130-3304
Phone
(920) 766-6020
Fax
(920) 759-1937
NPI assigned
Sep 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Mrs. Leslie Aaron Matz, COTA
Title
Cota
Phone
(920) 766-6020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4606027 WI Primary

Addresses

Primary practice location

316 E 14TH St
Kaukauna, WI 54130-3304

Mailing address

316 E 14TH St
Kaukauna, WI 54130-3304
Phone (920) 766-6020

National Provider Directory

National Provider Directory
Tax ID family
St Paul Elder Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1508015884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E 14TH ST",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541303304",
            "telephone_number": "920-766-6020",
            "fax_number": "920-759-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E 14TH ST",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541303304",
            "telephone_number": "920-766-6020",
            "fax_number": "920-759-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PAUL ELDER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "MATZ",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "COTA",
        "authorized_official_telephone_number": "920-766-6020",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "4606027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaukauna, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.