Beth Haven Nursing Home

LBN: Mennonite Home Association Inc.
Beth Haven Nursing Home is an health care organization with primary practice located at 2500 Pleasant St , Hannibal MO 63401-2600. 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. Mennonite Home Association Inc. can be contacted via phone (573) 221-6000, or through Lauterbach, Kerri via phone (573) 221-6000.

Contact Information

Primary practice address
2500 Pleasant St Hannibal MO 63401-2600
Fax: (573) 221-6172
Website:
Authorized official contact:
Name: Lauterbach, Kerri

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 030867 Missouri

Profile Details

NPI number 1154327187
LBN Legal business name Mennonite Home Association Inc.
DBA Doing business as Beth Haven Nursing Home
Authorized official Lauterbach, Kerri
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2005
Last updated Aug 25th, 2022 - about 2 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 1154327187 NPPES
Missouri MEDICAID 101480101

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