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ST PAULS SENIOR COMMUNITY LLC NPI 1710973284


NPI Information

NPI: 1710973284
Provider Name: ST PAULS SENIOR COMMUNITY LLC

Doing Business As: ST. PAUL'S HOME

Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization

CLIA Number: 14D0434027

Address:
1021 W E ST
BELLEVILLE, IL
ZIP 62220
Phone: (618) 233-2095
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ST PAULS SENIOR COMMUNITY LLC is a nursing facility intermediate care facility in Belleville, IL. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. ST PAULS SENIOR COMMUNITY LLC NPI is 1710973284. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Paul's Home.

The provider's business location address is:

1021 W E ST
BELLEVILLE, IL
ZIP 62220-055
Phone: (618) 233-2095
Fax: (618) 233-2109

The provider's authorized official is Elizabeth Ann Papin .
The authorized official title is Medicare Billing Specialist and has the following contact phone number (636) 222-0060.

The CLIA number assigned to this NPI record is 14D0434027 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2005 and was last updated on 5/14/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1313M00000XNursing Facility/Intermediate Care Facility0013920ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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