Buena Vista Manor Care Center Inc.

LBN: Buena Vista Manor, Inc.
Buena Vista Manor Care Center Inc. is an health care organization with primary practice located at 1325 Lake Ave , Storm Lake IA 50588-1907. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Buena Vista Manor, Inc. can be contacted via phone (712) 732-3254, or through Carlson, Kenneth D. via phone (515) 223-6064.

Contact Information

Primary practice address
1325 Lake Ave Storm Lake IA 50588-1907
Phone: (712) 732-3254
Fax: (712) 732-1990
Website:
Map and Directions
Authorized official contact:
Name: Carlson, Kenneth D.
Phone: (515) 223-6064

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 110129 Iowa
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 165596 Iowa
Respite Care Facility / Respite Care 385H00000X 0478248 Iowa

Profile Details

NPI number 1912993841
LBN Legal business name Buena Vista Manor, Inc.
DBA Doing business as Buena Vista Manor Care Center Inc.
Authorized official Carlson, Kenneth D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2005
Last updated Jul 20th, 2011 - about 13 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 1912993841 NPPES
Iowa MEDICAID 0800383
Iowa Other 16E051
Iowa Other 16E051

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