Ravenwood Specialty Care

LBN: Care Initiatives
Ravenwood Specialty Care is an health care organization with primary practice located at 2651 Saint Francis Dr , Waterloo IA 50702-5442. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Care Initiatives can be contacted via phone (319) 232-6808, or through Dixon, David via phone (515) 224-4442.

Contact Information

Primary practice address
2651 Saint Francis Dr Waterloo IA 50702-5442
Fax: (319) 232-4402
Website:
Authorized official contact:
Name: Dixon, David

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 070583 Iowa

Profile Details

NPI number 1780657247
LBN Legal business name Care Initiatives
DBA Doing business as Ravenwood Specialty Care
Authorized official Dixon, David
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2006
Last updated Nov 10th, 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 1780657247 NPPES
Iowa MEDICAID 0652511
Iowa MEDICAID 0808279

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