Premier Estates 506, Llc

LBN: Premier Estates 506, Llc
Premier Estates 506, Llc is an health care organization with primary practice located at 3661 Rochester Ave , Iowa City IA 52245-9271. 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. Premier Estates 506, Llc can be contacted via phone (319) 351-7460, or through Bancroft, Cassidy via phone (941) 758-4745.

Contact Information

Primary practice address
3661 Rochester Ave Iowa City IA 52245-9271
Phone: (319) 351-7460
Fax: (319) 354-8428
Website:
Map and Directions
Authorized official contact:
Name: Bancroft, Cassidy
Phone: (941) 758-4745

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 520052 Iowa

Profile Details

NPI number 1083070783
LBN Legal business name Premier Estates 506, Llc
DBA Doing business as
Authorized official Bancroft, Cassidy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2016
Last updated Jan 9th, 2018 - about 7 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 1083070783 NPPES
Iowa MEDICAID 0800179

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