Casa De Paz Health Care Center

LBN: Premier Estates 510, Llc
Casa De Paz Health Care Center is an health care organization with primary practice located at 2121 W 19Th St , Sioux City IA 51103-2333. 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 510, Llc can be contacted via phone (712) 233-3127, or through Culp, Jamie via phone (941) 758-4745.

Contact Information

Primary practice address
2121 W 19Th St Sioux City IA 51103-2333
Phone: (712) 233-3127
Fax: (712) 258-1117
Website:
Map and Directions
Authorized official contact:
Name: Culp, Jamie
Phone: (941) 758-4745

Health care specialties

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

Profile Details

NPI number 1811353519
LBN Legal business name Premier Estates 510, Llc
DBA Doing business as Casa De Paz Health Care Center
Authorized official Culp, Jamie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2016
Last updated May 13th, 2016 - about 8 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 1811353519 NPPES
Iowa MEDICAID 0800176

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