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ST JOSEPH RESIDENCE INC
NPI 1073510632
Skilled Nursing Facility in New London, WI

Active since June 28, 2005CLIA 52D0662156 · Waiver
5/5
Overall Rating
107 E BECKERT ROAD, NEW LONDON, WI 54961(920) 982-5354(920) 982-5420 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St Joseph Residence Inc NPPES

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

ST JOSEPH RESIDENCE INC (NPI 1073510632) is a healthcare organization registered as a skilled nursing facility in New London, Wisconsin and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Daniel W Orr, Administrator, as its authorized official.

NPPES Registry Identity

NPI1073510632
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameST JOSEPH RESIDENCE INC
Location Address107 E BECKERT ROADNew London, WI 54961-2598
Mailing Address107 E Beckert RoadNew London, WI 54961-2598 · (920) 982-5354 · Fax (920) 982-5420
Phone(920) 982-5354
Fax(920) 982-5420
Organization SubpartNo
Authorized OfficialDaniel W OrrAdministrator · (920) 982-5354
Enumeration DateJune 28, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073510632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in WI · 2040
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
107 E BECKERT ROAD, New London, WI 54961
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Other Identifiers 1

Medicaid20132400WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 52D0662156

St Joseph Residence Inc · New London, WI
Active · expires Jun 28, 2027
CLIA Number52D0662156
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorDaniel W. Orr
Laboratory Phone(920) 982-5310
Laboratory LocationSt Joseph Residence Inc107 E Beckert Rd, New London, WI 54961
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for St Joseph Residence (CMS certification number 525599), from CMS Care Compare.

St Joseph Residence

Nursing home · New London, WI
5/5 CMS Overall Rating
OwnershipNon profit - Church related
CMS Certification Number525599
Certified Beds50 beds39 residents per day on average
Medicare & Medicaid Participant SinceSeptember 1, 1996
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
16.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 4.15 · LPN 1.01 · RN 0.88
6.04 hrs per resident per day
Weekend Nurse Staffing
5.4 hrs per resident per day
Physical Therapist Staffing
0.09 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
37.5%
Registered Nurse Turnover
12.5%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
1
Fines
1 totaling $657.80
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Joseph Residence Inc's NPI number?

The NPI number for St Joseph Residence Inc is 1073510632. It was assigned to this organization in the NPPES registry on June 28, 2005.

Where is St Joseph Residence Inc located?

St Joseph Residence Inc is located at 107 E Beckert Road, New London, WI 54961. The listed phone number is (920) 982-5354.

What is St Joseph Residence Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does St Joseph Residence Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0662156) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is St Joseph Residence Inc a Medicare-certified nursing home?

Yes. St Joseph Residence is a Medicare-certified nursing home with 50 certified beds.

What quality rating does St Joseph Residence Inc have?

CMS rates St Joseph Residence 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does St Joseph Residence Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list St Joseph Residence Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Joseph Residence Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.