Organization Active NPI

St. Nicholas Hospital-Sisters of the Third Order of St. Francis

  • Home Health Agency
  • Sheboygan, WI
National Provider Identifier
1629078787
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
124 Issued in WI
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, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF ST. FRANCISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
41524300MedicaidWI

Other names 1

  • St Nicholas Hospital Home Health Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

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.

Verify at the official NPI Registry.