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ST VINCENT HOSPITAL HOME HEALTH BIRTH TO 3
NPI 1063439560
Home Health in Green Bay, WI

Active since July 17, 2006CLIA 52D0670729 · Waiver
900 S WEBSTER AVE, GREEN BAY, WI 54301(920) 448-7000(920) 433-8765 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St Vincent Hospital Home Health Birth To 3 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST VINCENT HOSPITAL HOME HEALTH BIRTH TO 3 (NPI 1063439560) is a healthcare organization registered as a home health in Green Bay, Wisconsin and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kelly Gigot, Assistant Administrator/cfo, as its authorized official.

NPPES Registry Identity

NPI1063439560
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Location Address900 S WEBSTER AVEGreen Bay, WI 54301-3508
Mailing AddressPo Box 13508Green Bay, WI 54307-3508 · (920) 433-8287 · Fax (920) 433-8765
Phone(920) 448-7000
Fax(920) 433-8765
Organization SubpartYes
Authorized OfficialKelly GigotAssistant Administrator/cfo · (920) 433-8287
Enumeration DateJuly 17, 2006
Last NPPES UpdateDecember 23, 2021
NPPES CertifiedDecember 23, 2021
✔ NPI 1063439560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
900 S WEBSTER AVE, Green Bay, WI 54301
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Other Names 1

Doing Business AsSt Vincent Hospital Home Health Birth To 3

Other Identifiers 1

Medicaid41221100WI

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0670729

St Vincent Hospital Home Health Care · Green Bay, WI
Active · expires Aug 31, 2026
CLIA Number52D0670729
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Charles Dais II
Laboratory Phone(920) 448-7000
Laboratory LocationSt Vincent Hospital Home Health Care1726 Shawano Ave, Green Bay, WI 54303
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREVEA CLINIC, INC.
Durable Medical Equipment & Medical Supplies
900 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
KAREN ANN KINI P.T.
Physical Therapist
900 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-0111
ST. CLARE MEMORIAL HOSPITAL, INC.
Surgery
900 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 965-7411
MARK ROBERT SCHICK MD
Orthopaedic Surgery
900 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
MR. RICHARD KEVIN MCNUTT MD
Surgery
900 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 965-7411
LINDA C RABE O.T.R.
Occupational Therapist
900 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-0111
MRS. REBECCA J HABETLER OTR
Occupational Therapist
900 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-0111
MARGARET INNIS VANDERMEER PT
Physical Therapist
900 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (940) 448-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Vincent Hospital-Hospital Sisters-Third Order Of St Francis's NPI number?

The NPI number for St Vincent Hospital-Hospital Sisters-Third Order Of St Francis is 1063439560. It was assigned to this organization in the NPPES registry on July 17, 2006. The provider is doing business as St Vincent Hospital Home Health Birth To 3.

Where is St Vincent Hospital-Hospital Sisters-Third Order Of St Francis located?

St Vincent Hospital-Hospital Sisters-Third Order Of St Francis is located at 900 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 448-7000.

What is St Vincent Hospital-Hospital Sisters-Third Order Of St Francis's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does St Vincent Hospital-Hospital Sisters-Third Order Of St Francis hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0670729) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St Vincent Hospital-Hospital Sisters-Third Order Of St Francis was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.