Eastern Star Masonic Home

LBN: Eastern Star Masonic Home
Eastern Star Masonic Home is an health care organization with primary practice located at 715 W Mamie Eisenhower Ave , Boone IA 50036-3930. 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. Eastern Star Masonic Home can be contacted via phone (515) 432-5274, or through Armstrong, Scott Dylan via phone (515) 709-4398.

Contact Information

Primary practice address
715 W Mamie Eisenhower Ave Boone IA 50036-3930
Phone: (515) 432-5274
Fax: (515) 432-5276
Website:
Map and Directions
Authorized official contact:
Name: Armstrong, Scott Dylan
Phone: (515) 709-4398

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X R-268 Iowa

Profile Details

NPI number 1619046596
LBN Legal business name Eastern Star Masonic Home
DBA Doing business as
Authorized official Armstrong, Scott Dylan
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Mar 5th, 2024 - about 9 months 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 1619046596 NPPES
Iowa MEDICAID 0890210

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