Provider Demographics
NPI:1518988864
Name:ST. JOSEPH'S MINISTRIES, INC
Entity Type:Organization
Organization Name:ST. JOSEPH'S MINISTRIES, INC
Other - Org Name:VILLA ST. CATHERINE, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR OF FINANCIAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:KIPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-447-7000
Mailing Address - Street 1:331 S SETON AVE
Mailing Address - Street 2:
Mailing Address - City:EMMITSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21727-9226
Mailing Address - Country:US
Mailing Address - Phone:301-447-7000
Mailing Address - Fax:301-447-7015
Practice Address - Street 1:331 S SETON AVE
Practice Address - Street 2:
Practice Address - City:EMMITSBURG
Practice Address - State:MD
Practice Address - Zip Code:21727-9226
Practice Address - Country:US
Practice Address - Phone:301-447-7000
Practice Address - Fax:301-447-7015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD100143140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD101007700Medicaid
MD101007700Medicaid