Genesis Senior Living Center

LBN: Crystal Properties, Inc
Genesis Senior Living Center is an health care organization with primary practice located at 5608 Sw 9Th St , Des Moines IA 50315-5003. 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. Crystal Properties, Inc can be contacted via phone (515) 223-0758, or through Lange, Randy via phone (515) 223-0758.

Contact Information

Primary practice address
5608 Sw 9Th St Des Moines IA 50315-5003
Phone: (515) 223-0758
Fax: (515) 223-9499
Website:
Map and Directions
Authorized official contact:
Name: Lange, Randy
Phone: (515) 223-0758

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 770707 Iowa

Profile Details

NPI number 1952471401
LBN Legal business name Crystal Properties, Inc
DBA Doing business as Genesis Senior Living Center
Authorized official Lange, Randy
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
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 1952471401 NPPES
Iowa Other 65175 BCBS PROVIDER #
Iowa MEDICAID 0807354 BCBS PROVIDER #

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