Promedica Skilled Nursing And Rehabilitation (Waterloo)

LBN: Manor Care Of Waterloo Ia, Llc
Promedica Skilled Nursing And Rehabilitation (Waterloo) is an health care organization with primary practice located at 201 W Ridgeway Ave , Waterloo IA 50701-4235. 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. Manor Care Of Waterloo Ia, Llc can be contacted via phone (319) 234-7777, or through Allen, Martin D via phone (419) 252-5734.

Contact Information

Primary practice address
201 W Ridgeway Ave Waterloo IA 50701-4235
Phone: (319) 234-7777
Fax: (319) 234-6671
Website:
Map and Directions
Authorized official contact:
Name: Allen, Martin D
Phone: (419) 252-5734

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NF-361 Iowa

Profile Details

NPI number 1003854944
LBN Legal business name Manor Care Of Waterloo Ia, Llc
DBA Doing business as Promedica Skilled Nursing And Rehabilitation (Waterloo)
Authorized official Allen, Martin D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Apr 6th, 2023 - about last year

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 1003854944 NPPES
Iowa MEDICAID 0800005

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