Country Life Health Care Inc

LBN: Country Life Health Care Inc
Country Life Health Care Inc is an health care organization with primary practice located at 2554 Ford Ave , Oskaloosa IA 52577-8850. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Custodial Care Facility, which is considered as the primary health care specialty. Country Life Health Care Inc can be contacted via phone (641) 673-4447, or through Kelley, Robert Keith via phone (641) 673-4447.

Contact Information

Primary practice address
2554 Ford Ave Oskaloosa IA 52577-8850
Fax: (641) 673-4447
Website:
Authorized official contact:
Name: Kelley, Robert Keith

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X 620603 Iowa

Profile Details

NPI number 1508996901
LBN Legal business name Country Life Health Care Inc
DBA Doing business as
Authorized official Kelley, Robert Keith
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1508996901 NPPES
Iowa MEDICAID 0895003

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