Lake Park Care Center

LBN: Signature Properties Of Lake Park, Llc
Lake Park Care Center is an health care organization with primary practice located at 1304 South Market , Lake Park IA 51347-1060. 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. Signature Properties Of Lake Park, Llc can be contacted via phone (712) 832-3691, or through Mehlhop, Bruce H. via phone (515) 727-1770.

Contact Information

Primary practice address
1304 South Market Lake Park IA 51347-1060
Phone: (712) 832-3691
Fax: (712) 832-9548
Website:
Map and Directions
Authorized official contact:
Name: Mehlhop, Bruce H. Master of Arts (MA)
Phone: (515) 727-1770

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 300598 Iowa

Profile Details

NPI number 1568444792
LBN Legal business name Signature Properties Of Lake Park, Llc
DBA Doing business as Lake Park Care Center
Authorized official Mehlhop, Bruce H. Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2005
Last updated Jan 20th, 2012 - about 12 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 1568444792 NPPES
Iowa MEDICAID 0809731

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