ST. JOSEPH INFANT & MATERNITY HOME NPI 1932268166

NPI Information

NPI: 1932268166
Provider Name: ST. JOSEPH INFANT & MATERNITY HOME

Doing Business As: ST. JOSEPH HOME OF CINCINNATI

Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization

Address:
10722 WYSCARVER RD
CINCINNATI, OH
ZIP 45241
Phone: (513) 563-2520
Get Directions

ST. JOSEPH INFANT & MATERNITY HOME is an intermediate care facility mental illness in Cincinnati, OH. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. ST. JOSEPH INFANT & MATERNITY HOME NPI is 1932268166. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Joseph Home Of Cincinnati.

The provider's business location address is:

10722 WYSCARVER RD
CINCINNATI, OH
ZIP 45241-061
Phone: (513) 563-2520
Fax: (513) 563-1958

The provider's authorized official is Marianne Van Vurst .
The authorized official title is Administrator and has the following contact phone number (513) 563-2520.

The CLIA number assigned to this NPI record is 36D0863918 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 8/22/2020.

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
1	310500000X	Intermediate Care Facility, Mental Illness		3111144	OHIO	Yes
2	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	M3102734	OHIO	X

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
1	0465474	MEDICAID	OHIO

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: 4/28/2024

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