Buena Vista Manor

LBN: Buena Vista Manor, Inc.
Buena Vista Manor is an health care organization with primary practice located at 1325 Lake Ave , Storm Lake IA 50588-1907. The organization recently has only one registered license in Respite Care Facility / Respite Care, which is considered as the primary health care specialty. Buena Vista Manor, Inc. can be contacted via phone (515) 223-6064, or through Carlson, Kenneth D. via phone (515) 223-6064.

Contact Information

Primary practice address
1325 Lake Ave Storm Lake IA 50588-1907
Phone: (515) 223-6064
Fax: (515) 226-1244
Website:
Map and Directions
Authorized official contact:
Name: Carlson, Kenneth D.
Phone: (515) 223-6064

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care 385H00000X 0478248 Iowa

Profile Details

NPI number 1740497403
LBN Legal business name Buena Vista Manor, Inc.
DBA Doing business as Buena Vista Manor
Authorized official Carlson, Kenneth D.
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2007
Last updated Jul 15th, 2011 - about 15 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 1740497403 NPPES
Iowa MEDICAID 0478248

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