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ST. ELIZABETH MANOR, INC.
NPI 1295340016
Assisted Living Facility in Footville, WI

Active since September 09, 2020
111 COMMERCIAL DR, FOOTVILLE, WI 53537(608) 876-4000 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St. Elizabeth Manor, Inc. NPPES

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

ST. ELIZABETH MANOR, INC. (NPI 1295340016) is a healthcare organization registered as an assisted living facility in Footville, Wisconsin and active in the NPI registry since September 2020. The organization lists Julie Marks, Cfo, as its authorized official.

NPPES Registry Identity

NPI1295340016
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameST. ELIZABETH MANOR, INC.
Location Address111 COMMERCIAL DRFootville, WI 53537
Mailing Address111 Commercial DrFootville, WI 53537 · (608) 876-4000
Phone(608) 876-4000
Organization SubpartNo
Authorized OfficialJulie MarksCfo · (920) 206-4926
Enumeration DateSeptember 9, 2020
NPPES CertifiedSeptember 3, 2020
✔ NPI 1295340016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
111 COMMERCIAL DR, Footville, WI 53537
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Other Providers at the Same Location NPPES

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

OSL SEM OPERATING LLC
Assisted Living Facility
111 COMMERCIAL DR
FOOTVILLE, WI 53537
Rock County (608) 876-4000

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. Elizabeth Manor, Inc.'s NPI number?

The NPI number for St. Elizabeth Manor, Inc. is 1295340016. It was assigned to this organization in the NPPES registry on September 9, 2020.

Where is St. Elizabeth Manor, Inc. located?

St. Elizabeth Manor, Inc. is located at 111 Commercial Dr, Footville, WI 53537. The listed phone number is (608) 876-4000.

What is St. Elizabeth Manor, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for St. Elizabeth Manor, Inc. was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.