Stacyville Community Nursing Home

LBN: Stacyville Community Nursing Home
Stacyville Community Nursing Home is an health care organization with primary practice located at 413 S. Broad Street , Stacyville IA 50476-5003. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Custodial Care Facility, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Stacyville Community Nursing Home can be contacted via phone (641) 710-2215, or through Wineinger, Jordan Lee via phone (641) 710-2215.

Contact Information

Primary practice address
413 S. Broad Street Stacyville IA 50476-5003
Phone: (641) 710-2215
Fax: (641) 710-2158
Website:
Map and Directions
Authorized official contact:
Name: Wineinger, Jordan Lee NHA
Phone: (641) 710-2215

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X R-408 Iowa
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 660408 Iowa
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 660408 Iowa

Profile Details

NPI number 1053396218
LBN Legal business name Stacyville Community Nursing Home
DBA Doing business as
Authorized official Wineinger, Jordan Lee NHA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2005
Last updated Dec 8th, 2011 - 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 1053396218 NPPES
Iowa MEDICAID 0893107
Iowa MEDICAID 0803783

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