Cherry Ridge

LBN: Abcm Corporation
Cherry Ridge is an health care organization with primary practice located at 217 Highway 30 Sw , Mount Vernon IA 52314-1597. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Abcm Corporation can be contacted via phone (319) 895-8249, or through Roberts, Timothy via phone (641) 456-5636.

Contact Information

Primary practice address
217 Highway 30 Sw Mount Vernon IA 52314-1597
Phone: (319) 895-8249
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Timothy
Phone: (641) 456-5636

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X S0124 Iowa

Profile Details

NPI number 1780686238
LBN Legal business name Abcm Corporation
DBA Doing business as Cherry Ridge
Authorized official Roberts, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2005
Last updated Oct 12th, 2009 - about 17 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 1780686238 NPPES
Iowa Other 0725978 MEDICAID AL WAIVER

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