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ST. MARY'S HOME FOR THE AGED, INC
NPI 1609882448
Skilled Nursing Facility in Manitowoc, WI

Active since August 01, 2006CLIA 52D0910706 · Waiver
3/5
Overall Rating
1635 S 21ST ST, MANITOWOC, WI 54220(920) 684-7171(920) 684-0118 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Mary's Home For The Aged, Inc NPPES

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

ST. MARY'S HOME FOR THE AGED, INC (NPI 1609882448) is a healthcare organization registered as a skilled nursing facility in Manitowoc, Wisconsin and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 16, 2028 and lists Frank Soltys, Presidnet/ceo/nha/msn, as its authorized official.

NPPES Registry Identity

NPI1609882448
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameST. MARY'S HOME FOR THE AGED, INC
Location Address1635 S 21ST STManitowoc, WI 54220-6380
Mailing Address1635 S 21st StreetManitowoc, WI 54220-5652 · (920) 684-7171 · Fax (920) 684-0118
Phone(920) 684-7171
Fax(920) 684-0118
Organization SubpartNo
Authorized OfficialFrank SoltysPresidnet/ceo/nha/msn · (920) 684-7171
Enumeration DateAugust 1, 2006
Last NPPES UpdateDecember 15, 2015
✔ NPI 1609882448 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 · 540
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.
1635 S 21ST ST, Manitowoc, WI 54220
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Other Identifiers 3

Other=========015WI · Bcbs
Medicaid20136700WI
Medicare ID-Type Unspecified525609

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.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 52D0910706

St Mary's Home For The Aged · Manitowoc, WI
Active · expires Jan 16, 2028
CLIA Number52D0910706
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 17, 2026
Certificate Expiration DateJanuary 16, 2028
Laboratory DirectorMs. Darcy L. Wech
Laboratory Phone(920) 684-7171
Laboratory LocationSt Mary's Home For The Aged1635 S 21st St, Manitowoc, WI 54220
CLIA data matches this NPI record on: Address Name Phone
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 Marys Home For The Aged (CMS certification number 525609), from CMS Care Compare.

St Marys Home For The Aged

Nursing home · Manitowoc, WI
3/5 CMS Overall Rating
OwnershipNon profit - Church related
CMS Certification Number525609
Certified Beds84 beds40 residents per day on average
Medicare & Medicaid Participant SinceDecember 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.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
24
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 2.89 · LPN 0.24 · RN 1.33
4.45 hrs per resident per day
Weekend Nurse Staffing
3.77 hrs per resident per day
Physical Therapist Staffing
0.05 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
53%
Registered Nurse Turnover
28.6%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
2 totaling $14,934.04
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 3

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

GOWA TUNDUP LAMA
Physical Therapy Assistant
1635 S 21ST ST
MANITOWOC, WI 54220
Manitowoc County (920) 684-7171
MEGAN DANIELLE STEIN COTA
Occupational Therapy Assistant
1635 S 21ST ST
MANITOWOC, WI 54220
Manitowoc County (920) 684-7171
NALY YANG PA-C
Physician Assistant
1635 S 21ST ST
MANITOWOC, WI 54220
Manitowoc County (920) 320-6635

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. Mary's Home For The Aged, Inc's NPI number?

The NPI number for St. Mary's Home For The Aged, Inc is 1609882448. It was assigned to this organization in the NPPES registry on August 1, 2006.

Where is St. Mary's Home For The Aged, Inc located?

St. Mary's Home For The Aged, Inc is located at 1635 S 21st St, Manitowoc, WI 54220. The listed phone number is (920) 684-7171.

What is St. Mary's Home For The Aged, Inc's specialty?

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

Does St. Mary's Home For The Aged, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0910706) is associated with this NPI, valid through January 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is St. Mary's Home For The Aged, Inc a Medicare-certified nursing home?

Yes. St Marys Home For The Aged is a Medicare-certified nursing home with 84 certified beds.

What quality rating does St. Mary's Home For The Aged, Inc have?

CMS rates St Marys Home For The Aged 3 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. Mary's Home For The Aged, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list St. Mary's Home For The Aged, 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. Mary's Home For The Aged, Inc was last updated on December 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.