Plymouth Life, Inc.
LBN: The Pride Group
Plymouth Life, Inc. is an health care organization with primary practice located at 214 Plymouth St Se , Le Mars IA 51031-3631. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty.
The Pride Group can be contacted via phone (712) 546-6500, or through Britt, Jillian Marie via phone (712) 546-6500.
Contact Information
Primary practice address
214 Plymouth St Se
Le Mars IA 51031-3631
Phone: (712) 546-6500
Fax: (712) 546-6589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | 750562 | Iowa |
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | 180932 | Iowa |
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | 710257 | Iowa |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | RMR-40 | Iowa |
Profile Details
| NPI number | 1871799601 |
|---|---|
| LBN Legal business name | The Pride Group |
| DBA Doing business as | Plymouth Life, Inc. |
| Authorized official | Britt, Jillian Marie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 27th, 2007 |
| Last updated | Feb 12th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871799601 | NPPES |
| Iowa | MEDICAID | 0894485 | |
| Iowa | MEDICAID | 0896639 | |
| Iowa | MEDICAID | 0893735 | |
| Iowa | MEDICAID | 0896498 |
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