MARY JUDE NURSING HOME
NPI 1902016090
Skilled Nursing Facility in West Allis, WI

Active since May 23, 2007
9806 W LINCOLN AVE, WEST ALLIS, WI 53227(414) 543-5330 Get Directions Write a Review

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

About Mary Jude Nursing Home NPPES

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

MARY JUDE NURSING HOME (NPI 1902016090) is a healthcare organization registered as a skilled nursing facility in West Allis, Wisconsin and active in the NPI registry since May 2007. The organization lists Michael Frisby, Administrator, as its authorized official.

NPPES Registry Identity

NPI1902016090
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMARY JUDE HEALTH CARE, INC.
Location Address9806 W LINCOLN AVEWest Allis, WI 53227-2234
Mailing Address9806 W Lincoln AveWest Allis, WI 53227-2234 · (414) 543-5330
Organization SubpartNo
Authorized OfficialMichael FrisbyAdministrator · (414) 543-5330
Enumeration DateMay 23, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1902016090 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 · 2962
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.
9806 W LINCOLN AVE, West Allis, WI 53227

Other Names 1

Doing Business AsMary Jude Nursing Home

Other Identifiers 1

Medicaid20163400WI

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.

Occupational Therapist
9806 W LINCOLN AVE
WEST ALLIS, WI 53227
Occupational Therapist
9806 W LINCOLN AVE
WEST ALLIS, WI 53227
Occupational Therapist
9806 W LINCOLN AVE
WEST ALLIS, WI 53227
Physical Therapy Assistant
9806 W LINCOLN AVE
WEST ALLIS, WI 53227
Physical Therapy Assistant
9806 W LINCOLN AVE
WEST ALLIS, WI 53227
Community/Behavioral Health
9806 W LINCOLN AVE
WEST ALLIS, WI 53227

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 Mary Jude Health Care, Inc.'s NPI number?

The NPI number for Mary Jude Health Care, Inc. is 1902016090. It was assigned to this organization in the NPPES registry on May 23, 2007. The provider is doing business as Mary Jude Nursing Home.

Where is Mary Jude Health Care, Inc. located?

Mary Jude Health Care, Inc. is located at 9806 W Lincoln Ave, West Allis, WI 53227. The listed phone number is (414) 543-5330.

What is Mary Jude Health Care, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Jude Health Care, 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.