Healthcare Provider Details

I. General information

NPI: 1316436470
Provider Name (Legal Business Name): ST JOSEPHS ELDER SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2018
Last Update Date: 08/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 E WASHINGTON ST
WEST POINT NE
68788-1314
US

IV. Provider business mailing address

320 E DECATUR ST
WEST POINT NE
68788-1514
US

V. Phone/Fax

Practice location:
  • Phone: 402-372-1118
  • Fax: 402-372-5200
Mailing address:
  • Phone: 402-372-3477
  • Fax: 402-372-6600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DAVID DEEMER
Title or Position: ADMINISTRATOR
Credential: LNHA
Phone: 402-372-3477