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OUR LADY OF PEACE NPI 1710352869


NPI Information

NPI: 1710352869
Provider Name: OUR LADY OF PEACE

Doing Business As: OUR LADY OF PEACE HOME

Classification: Hospice, Inpatient - 315D00000X
Entity Type: Organization
Address:
2076 SAINT ANTHONY AVE
SAINT PAUL, MN
ZIP 55104
Phone: (651) 789-5031
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OUR LADY OF PEACE is a hospice inpatient in Saint Paul, MN. The provider is a provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. OUR LADY OF PEACE NPI is 1710352869. The provider is registered as an organization entity type.
The provider Is Doing Business As Our Lady Of Peace Home.

The provider's business location address is:

2076 SAINT ANTHONY AVE
SAINT PAUL, MN
ZIP 55104-543
Phone: (651) 789-5031

The provider's authorized official is Joseph Stanislav .
The authorized official title is Ceo and has the following contact phone number (651) 789-5031.

The enumeration date for this NPI number is 12/1/2015 and was last updated on 12/1/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315D00000XHospice, Inpatient375345MINNESOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1241573MEDICARE OSCAR/CERTIFICATIONMINNESOTA

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: 11/14/2023

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