Ennoble Manor Care Center

LBN: Enoble Manor Care Center Inc.
Ennoble Manor Care Center is an health care organization with primary practice located at 2000 Pasadena Dr , Dubuque IA 52001-0808. 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. Enoble Manor Care Center Inc. can be contacted via phone (563) 557-1076, or through Carlson, Kenneth D. via phone (515) 223-6064.

Contact Information

Primary practice address
2000 Pasadena Dr Dubuque IA 52001-0808
Phone: (563) 557-1076
Fax: (563) 584-0671
Website:
Map and Directions
Authorized official contact:
Name: Carlson, Kenneth D.
Phone: (515) 223-6064

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 310764 Iowa

Profile Details

NPI number 1578541611
LBN Legal business name Enoble Manor Care Center Inc.
DBA Doing business as Ennoble Manor Care Center
Authorized official Carlson, Kenneth D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2006
Last updated Sep 1st, 2010 - about 15 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 1578541611 NPPES
Iowa MEDICAID 0801183

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