Plymouth Manor Care Center

LBN: Plymouth Manor Inc
Plymouth Manor Care Center is an health care organization with primary practice located at 954 7Th Ave Se , Le Mars IA 51031-2602. 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. Plymouth Manor Inc can be contacted via phone (712) 546-7831, or through Amlie, Thomas Richard via phone (319) 290-1490.

Contact Information

Primary practice address
954 7Th Ave Se Le Mars IA 51031-2602
Phone: (712) 546-7831
Fax: (712) 546-7990
Website:
Map and Directions
Authorized official contact:
Name: Amlie, Thomas Richard
Phone: (319) 290-1490

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 750234 Iowa

Profile Details

NPI number 1669450615
LBN Legal business name Plymouth Manor Inc
DBA Doing business as Plymouth Manor Care Center
Authorized official Amlie, Thomas Richard
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2006
Last updated Mar 27th, 2012 - about 13 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 1669450615 NPPES
Iowa MEDICAID 0803288

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