Marian Home

LBN: Marian Home
Marian Home is an health care organization with primary practice located at 2400 6Th Ave N , Fort Dodge IA 50501-3541. 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. Marian Home can be contacted via phone (515) 576-1138, or through Bruening, Gerald J via phone (515) 576-5099.

Contact Information

Primary practice address
2400 6Th Ave N Fort Dodge IA 50501-3541
Phone: (515) 576-1138
Fax: (515) 576-5099
Website:
Map and Directions
Authorized official contact:
Name: Bruening, Gerald J
Phone: (515) 576-5099

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 940496 Iowa

Profile Details

NPI number 1376549972
LBN Legal business name Marian Home
DBA Doing business as
Authorized official Bruening, Gerald J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2005
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 1376549972 NPPES
Iowa MEDICAID 0802538

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