St. Paul Lutheran Church, Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

ST. PAUL LUTHERAN CHURCH, INC

Practice address

730 County Road PPP
Sheboygan Falls, WI 53085-1864

Phone

(920) 467-6449

NPI assigned

Dec 3, 2019

Organization subpart

No

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

Authorized official

Name

Stefanie Trakel

Title

Administrator

Phone

(920) 467-6449

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1659918233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 COUNTY ROAD PPP",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530851864",
            "telephone_number": "920-467-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 COUNTY ROAD PPP",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530851864",
            "telephone_number": "920-467-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PAUL LUTHERAN CHURCH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "TRAKEL",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-467-6449"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stefaniet@stpaulfalls.com",
            "affiliation": "N",
            "address_1": "730 County Road Ppp",
            "city": "Sheboygan Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530851864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Sheboygan Falls, WI
• Providers in Sheboygan Falls, WI by specialty
• Adult Day Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.