ST PETER VILLA INC - NPI 1447240882 - Nursing Facility/Intermediate Care Facility in Memphis, TN

Q: What is St Peter Villa Inc's NPI number?

The NPI number for St Peter Villa Inc is 1447240882. It was assigned to this organization in the NPPES registry on October 26, 2005.

Q: What is St Peter Villa Inc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

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About St Peter Villa Inc NPPES

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

ST PETER VILLA INC (NPI 1447240882) is a healthcare organization registered as a nursing facility/intermediate care facility in Memphis, Tennessee and active in the NPI registry since October 2005. The organization lists Kae Werhoven, Administrator, as its authorized official.

NPPES Registry Identity

NPI1447240882

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameST PETER VILLA INC

Location Address141 N MCLEAN BLVDMemphis, TN 38104-2693

Mailing Address141 N Mclean BlvdMemphis, TN 38104-2693 · (901) 276-2021 · Fax (901) 725-3564

Phone(901) 276-2021

Fax(901) 725-3564

Organization SubpartNo

Authorized OfficialKae WerhovenAdministrator · (901) 276-2021

Enumeration DateOctober 26, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1447240882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in TN · 255

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.

141 N MCLEAN BLVD, Memphis, TN 38104

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Other Identifiers 1

Medicaid7440447TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 6

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

VITAE HEALTH MEDICAL TENNESSEE PLLC

Internal Medicine