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ST PAUL HERMITAGE HOME
NPI 1871605055
Nursing Facility/Intermediate Care Facility in Beech Grove, IN

Active since August 31, 2006
501 N 17TH AVENUE, BEECH GROVE, IN 46107(317) 786-2261(317) 782-1411 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St Paul Hermitage Home NPPES

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

ST PAUL HERMITAGE HOME (NPI 1871605055) is a healthcare organization registered as a nursing facility/intermediate care facility in Beech Grove, Indiana and active in the NPI registry since August 2006. The organization lists Maureen Therese Cooney, Bookkeeper, as its authorized official.

NPPES Registry Identity

NPI1871605055
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameST PAUL HERMITAGE HOME
Location Address501 N 17TH AVENUEBeech Grove, IN 46107
Mailing Address501 N 17th AvenueBeech Grove, IN 46107 · (317) 786-2261 · Fax (317) 782-1411
Phone(317) 786-2261
Fax(317) 782-1411
Organization SubpartNo
Authorized OfficialMaureen Therese CooneyBookkeeper · (317) 786-2261
Enumeration DateAugust 31, 2006
Last NPPES UpdateJune 17, 2008
✔ NPI 1871605055 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 IN · 060003911
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.
501 N 17TH AVENUE, Beech Grove, IN 46107
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Other Identifiers 1

Medicaid100274990AIN

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 Paul Hermitage Home's NPI number?

The NPI number for St Paul Hermitage Home is 1871605055. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is St Paul Hermitage Home located?

St Paul Hermitage Home is located at 501 N 17th Avenue, Beech Grove, IN 46107. The listed phone number is (317) 786-2261.

What is St Paul Hermitage Home's specialty?

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

When was this NPI record last updated?

The NPPES record for St Paul Hermitage Home was last updated on June 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.