Indianola Residential

LBN: Indianola Residential, Llc
Indianola Residential is an health care organization with primary practice located at 401 W Salem Ave , Indianola IA 50125-2439. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Indianola Residential, Llc can be contacted via phone (515) 961-2556, or through Hemness, Russell Lee via phone (515) 250-0670.

Contact Information

Primary practice address
401 W Salem Ave Indianola IA 50125-2439
Phone: (515) 961-2556
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hemness, Russell Lee
Phone: (515) 250-0670

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 910290 Iowa

Profile Details

NPI number 1255412995
LBN Legal business name Indianola Residential, Llc
DBA Doing business as Indianola Residential
Authorized official Hemness, Russell Lee
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 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 1255412995 NPPES
Iowa MEDICAID 0896910

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