Pride Group, Inc.

LBN: Plymouth Life, Inc.
Pride Group, Inc. is an health care organization with primary practice located at 214 Plymouth St Se , Le Mars IA 51031-3631. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Plymouth Life, Inc. can be contacted via phone (712) 546-6500, or through Britt, Jillian Marie via phone (712) 546-6500.

Contact Information

Primary practice address
214 Plymouth St Se Le Mars IA 51031-3631
Phone: (712) 546-6500
Fax: (712) 546-6589
Website:
Map and Directions
Authorized official contact:
Name: Britt, Jillian Marie
Phone: (712) 546-6500

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1023166576
LBN Legal business name Plymouth Life, Inc.
DBA Doing business as Pride Group, Inc.
Authorized official Britt, Jillian Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Jan 28th, 2015 - about 10 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 1023166576 NPPES
Iowa MEDICAID 0764415
Iowa MEDICAID 0108423
Iowa MEDICAID 0245100
Iowa MEDICAID 0232041
Iowa MEDICAID 0741983
Iowa MEDICAID 0242990
Iowa MEDICAID 0251561
Iowa MEDICAID 0769471

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