North Lake Manor

LBN: Jp Senior Healthcare Llc
North Lake Manor is an health care organization with primary practice located at 1325 Lake Ave , Storm Lake IA 50588-1907. 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. Jp Senior Healthcare Llc can be contacted via phone (712) 732-3254, or through Dewitt, Joseph P via phone (712) 574-7312.

Contact Information

Primary practice address
1325 Lake Ave Storm Lake IA 50588-1907
Phone: (712) 732-3254
Fax: (712) 732-1990
Website:
Map and Directions
Authorized official contact:
Name: Dewitt, Joseph P
Phone: (712) 574-7312

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 110129 Iowa

Profile Details

NPI number 1932495389
LBN Legal business name Jp Senior Healthcare Llc
DBA Doing business as North Lake Manor
Authorized official Dewitt, Joseph P
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2011
Last updated Aug 6th, 2012 - about 12 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 1932495389 NPPES
Iowa MEDICAID 0800056

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