Mary Jude Nursing Home

LBN: Mary Jude Health Care, Inc.
Mary Jude Nursing Home is an health care organization with primary practice located at 9806 W Lincoln Ave , West Allis WI 53227-2234. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Mary Jude Health Care, Inc. can be contacted via phone (414) 543-5330, or through Frisby, Michael via phone (414) 543-5330.

Contact Information

Primary practice address
9806 W Lincoln Ave West Allis WI 53227-2234
Phone: (414) 543-5330
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Frisby, Michael
Phone: (414) 543-5330

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2962 Wisconsin

Profile Details

NPI number 1902016090
LBN Legal business name Mary Jude Health Care, Inc.
DBA Doing business as Mary Jude Nursing Home
Authorized official Frisby, Michael
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902016090 NPPES
Wisconsin MEDICAID 20163400

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