Active NPI
St. Nicholas Hospital-Sisters of the Third Order of St. Francis
- Home Health Agency
- Sheboygan, WI
National Provider Identifier
1629078787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 124
- Legal business name
- ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST. FRANCIS
- Practice address
- 3100 Superior Avenue
Sheboygan, WI 53081 - Phone
- (920) 459-8300
- Fax
- (920) 452-8336
- NPI assigned
- Jul 29, 2005
- Last updated
- Dec 22, 2021
- Organization subpart
- Yes
- Parent organization
- ST. NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF ST. FRANCIS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Allen
- Title
- Cfo
- Phone
- (920) 884-5660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 124 | WI | Primary |
Addresses
Primary practice location
3100 Superior Avenue
Sheboygan, WI 53081
Mailing address
3100 Superior Avenue
Sheboygan, WI 53081
Phone (920) 459-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41524300 | Medicaid | WI |
Other names 1
- St Nicholas Hospital Home Health
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stvincent_stmary_stnicholas_stclare@ewd.direct.org | Direct |
National Provider Directory
National Provider Directory- Part of
- St Nicholas Hosp Physic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640131200000",
"number": "1629078787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SUPERIOR AVENUE",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "53081",
"telephone_number": "920-459-8300",
"fax_number": "920-452-8336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SUPERIOR AVENUE",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "53081",
"telephone_number": "920-459-8300",
"fax_number": "920-452-8336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST. FRANCIS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST. NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF ST. FRANCIS",
"enumeration_date": "2005-07-29",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "920-884-5660"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WI",
"license": "124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41524300",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stvincent_stmary_stnicholas_stclare@ewd.direct.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "3100 Superior Ave",
"city": "Sheboygan",
"state": "WI",
"country_code": "US",
"postal_code": "530811948",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "St Nicholas Hospital Home Health",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "St Nicholas Hospital Home Health",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sheboygan, WI
- St. Nicholas Hospital-Sisters of the Third Order of St Francis (Prevea Health)
- St. Nicholas Hospital-Sisters of the Third Order of St Francis (St Nicholas Hospital)
- St. Nicholas Hospital-Sisters of the Third Order of St. Francis (St Nicholas Hospital Outpatient Lab)
- St. Nicholas Hospital-Sisters of the Third Order of St. Francis
- St. Nicholas Hospital-Sisters of the Third Order of St. Francis (St. Nicholas Hospital Sheboygan Surgery Center)
- St. Vincent Hospital-Hospital Sisters-Third Order of St Francis (St. Vincent Regional Cancer Center)
- St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis (St. Vincent Hospital-Libertas of Sheboygan)
- Taylor R Stamm, LAT
- Luke Elliot Stanczyk, PA-C
- Natalie Stanczyk, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.