ST PAUL ELDER SERVICES INC NPI 1093786543

NPI Information

  • NPI: 1093786543
  • Provider Name: ST PAUL ELDER SERVICES, INC
  • Classification: Skilled Nursing Facility - 314000000X
  • Entity Type: Organization
  • Address: 316 E 14TH ST
    KAUKAUNA, WI
    ZIP 54130
  • Phone: (920) 766-6020

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NPI Details

ST PAUL ELDER SERVICES, INC is a skilled nursing facility in Kaukauna, WI. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. ST PAUL ELDER SERVICES, INC NPI is 1093786543. The provider is registered as an organization entity type.

The provider's business location address is:

316 E 14TH ST
KAUKAUNA, WI
ZIP 54130-304
Phone: (920) 766-6020
Fax: (920) 766-9161

The provider's authorized official is Amber Schroeder .
The authorized official title is Cfo and has the following contact phone number (920) 766-6020.

The enumeration date for this NPI number is 1/31/2006 and was last updated on 6/3/2025.

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
1174200000XMealsNo
2225CA2500XRehabilitation CounselorAssistive Technology SupplierNo
32279E1000XRespiratory Therapist, RegisteredEducationalNo
4251B00000XCase ManagementNo
5251E00000XHome HealthNo
6261QA0600XClinic/CenterAdult Day CareNo
7333300000XEmergency Response System CompaniesNo
8314000000XSkilled Nursing Facility2988WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
120164800MEDICAIDWISCONSIN
20010491OTHERWISCONSINADULT DAY CARE LICENSE

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: 11/21/2025

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