Black Hawk Life Care Center

LBN: Blackhawk Lifecare Inc
Black Hawk Life Care Center is an health care organization with primary practice located at 73 W 5Th St , Lake View IA 51450-7312. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Blackhawk Lifecare Inc can be contacted via phone (712) 657-8527, or through Juckette, Linda K. via phone (515) 223-6064.

Contact Information

Primary practice address
73 W 5Th St Lake View IA 51450-7312
Phone: (712) 657-8527
Fax: (712) 657-8618
Website:
Map and Directions
Authorized official contact:
Name: Juckette, Linda K.
Phone: (515) 223-6064

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X N-547 Iowa
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 810547 Iowa

Profile Details

NPI number 1649242074
LBN Legal business name Blackhawk Lifecare Inc
DBA Doing business as Black Hawk Life Care Center
Authorized official Juckette, Linda K.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2006
Last updated Jan 11th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649242074 NPPES
Iowa MEDICAID 0808683

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