Casa De Paz Health Care Center

LBN: Waverley - Casa De Paz, Inc.
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 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Durable Medical Equipment & Medical Supplies. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Waverley - Casa De Paz, Inc. can be contacted via phone (712) 233-3127, or through Dunbar, Chauncey R. via phone (601) 956-1576.

Contact Information

Primary practice address
2121 W 19Th St Sioux City IA 51103-2333
Phone: (712) 233-3127
Fax: (712) 233-1177
Website:
Map and Directions
Authorized official contact:
Name: Dunbar, Chauncey R. CPA
Phone: (601) 956-1576

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 970125 Iowa
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0474718 Iowa

Profile Details

NPI number 1770577405
LBN Legal business name Waverley - Casa De Paz, Inc.
DBA Doing business as Casa De Paz Health Care Center
Authorized official Dunbar, Chauncey R. CPA
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2005
Last updated Sep 16th, 2008 - about 16 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 1770577405 NPPES
Iowa MEDICAID 0806919
Iowa Other 0474718
Iowa Other 0609950001

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