Friendship Village Inc.

LBN: Friendship Village Inc.
Friendship Village Inc. is an health care organization with primary practice located at 600 Park Ln , Waterloo IA 50702-5200. 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. Friendship Village Inc. can be contacted via phone (319) 291-8100, or through Gates, Lisa E via phone (319) 291-8100.

Contact Information

Primary practice address
600 Park Ln Waterloo IA 50702-5200
Fax: (319) 291-8324
Website:
Authorized official contact:
Name: Gates, Lisa E

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X N429 Iowa

Profile Details

NPI number 1639348873
LBN Legal business name Friendship Village Inc.
DBA Doing business as
Authorized official Gates, Lisa E
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2008
Last updated Feb 26th, 2008 - about 17 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 1639348873 NPPES
Iowa MEDICAID 0801332

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