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St Paul Hermitage Home
Nursing Facility/Intermediate Care Facility in Beech Grove, Indiana
NPI 1871605055

St Paul Hermitage Home is a Nursing Facility/Intermediate Care Facility based in Beech Grove, IN. St Paul Hermitage Home practices in Beech Grove, IN. The NPI Number for St Paul Hermitage Home is 1871605055 and holds a License No. 060003911 (Indiana).

The current practice location address for St Paul Hermitage Home is 501 N 17Th Avenue, Beech Grove, IN and can be reached out via phone at 317-786-2261 and via fax at 317-782-1411.

Location: 501 N 17Th Avenue, Beech Grove, IN, 46107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871605055
Provider Name
St Paul Hermitage Home
Credential
Provider Entity Type
Organization
Address
501 N 17Th Avenue, Beech Grove, IN, 46107
Phone Number
317-786-2261
Fax Number
317-782-1411
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100274990A 05 IN
institution
Provider Business Practice Location Address Details
Address
501 N 17Th Avenue
City
Beech Grove
State
Indiana
Zip
46107
Phone Number
317-786-2261
Fax Number
317-782-1411
person
Provider Business Mailing Address Details
Address
501 N 17Th Avenue
City
Beech Grove
State
Indiana
Zip
46107
Phone Number
317-786-2261
Fax Number
317-782-1411
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
060003911 (Indiana)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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