Eventide Lutheran Home For The Aged

LBN: Eventide
Eventide Lutheran Home For The Aged is an health care organization with primary practice located at 114 S 20Th St , Denison IA 51442-2251. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Custodial Care Facility, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Eventide can be contacted via phone (712) 263-3114, or through Baker, Mindi Renae via phone (712) 263-3114.

Contact Information

Primary practice address
114 S 20Th St Denison IA 51442-2251
Phone: (712) 263-3114
Fax: (712) 263-8819
Website:
Map and Directions
Authorized official contact:
Name: Baker, Mindi Renae NHA
Phone: (712) 263-3114

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X 0890475 Iowa
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1417944265
LBN Legal business name Eventide
DBA Doing business as Eventide Lutheran Home For The Aged
Authorized official Baker, Mindi Renae NHA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2005
Last updated Oct 17th, 2013 - about 11 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 1417944265 NPPES
Iowa MEDICAID 0801217
Iowa MEDICAID 0890475

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