DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: VSL ST PAUL LLC

MEDICARE: VSL ST PAUL LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityNH0016NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NH0016OTHERNEFACILTIY LICENSE

General Provider Information

NPI Number : 1053831164
Entity Type Code : Organization
Provider Name (Legal Business Name) : VSL ST PAUL LLC
Provider Business Mailing Address
First Line : 20220 HARNEY ST
Second Line :
City : ELKHORN
State : NE
Zip : 68022-2063
Country : US
Telephone Number : 402-885-6120
Fax Number : 402-895-8165
Provider Business Practice Location Address
First Line : 1405 HERITAGE DR
Second Line :
City : SAINT PAUL
State : NE
Zip : 68873-3618
Country : US
Telephone Number : 308-754-5486
Fax Number : 308-754-5385
Authorized Official
Title or Position : CEO
Name : JACK D VETTER
Credential :
Telephone Number : 402-895-3932
Provider Enumeration Date : 06/21/2017
Last Update Date : 07/24/2025

Similar Medicare Providers

1457460230 — HERITAGE OF ST PAUL, INC
Practice Location Address:
1405 HERITAGE DR
SAINT PAUL, NE
68873-3618
Practice Phone: 308-754-5486
Practice Fax: 308-754-5385
1346647369 — LINDSAY HEMINGER
Practice Location Address:
1405 HERITAGE DR
SAINT PAUL, NE
68873-3618
Practice Phone: 308-754-5486
Practice Fax:
1750833794 — JENAE SVOBODA
Practice Location Address:
1405 HERITAGE DR
SAINT PAUL, NE
68873-3618
Practice Phone: 308-754-5486
Practice Fax:
1831641547 — LOUISE HERBIG COTA-L
Practice Location Address:
1405 HERITAGE DR
SAINT PAUL, NE
68873-3618
Practice Phone: 308-754-5486
Practice Fax:
1366016636 — ALYSSA MARIE WOJTALEWICZ
Practice Location Address:
1405 HERITAGE DR
SAINT PAUL, NE
68873-3618
Practice Phone: 308-754-5486
Practice Fax:
1285704130 — TAMMY HAMILTON MS., RD., LD
Practice Location Address:
3618 FRENCH AVE
SAINT LOUIS, MO
63116-4043
Practice Phone: 314-359-9165
Practice Fax:

Directions to “VSL ST PAUL LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.