Provider Demographics
NPI:1316436470
Name:ST JOSEPHS ELDER SERVICES INC
Entity type:Organization
Organization Name:ST JOSEPHS ELDER SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DEEMER
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:402-372-3477
Mailing Address - Street 1:320 E DECATUR ST
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:NE
Mailing Address - Zip Code:68788-1514
Mailing Address - Country:US
Mailing Address - Phone:402-372-3477
Mailing Address - Fax:402-372-6600
Practice Address - Street 1:540 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:NE
Practice Address - Zip Code:68788-1314
Practice Address - Country:US
Practice Address - Phone:402-372-1118
Practice Address - Fax:402-372-5200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-04
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility