Southridge Specialty Care

LBN: Care Initiatives
Southridge Specialty Care is an health care organization with primary practice located at 309 W Merle Hibbs Blvd , Marshalltown IA 50158-4694. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Care Initiatives can be contacted via phone (641) 752-4553, or through Dixon, David via phone (515) 224-4442.

Contact Information

Primary practice address
309 W Merle Hibbs Blvd Marshalltown IA 50158-4694
Phone: (641) 752-4553
Fax: (641) 752-7776
Website:
Map and Directions
Authorized official contact:
Name: Dixon, David
Phone: (515) 224-4442

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 640136 Iowa

Profile Details

NPI number 1700858719
LBN Legal business name Care Initiatives
DBA Doing business as Southridge Specialty Care
Authorized official Dixon, David
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2006
Last updated Nov 10th, 2022 - about 4 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 1700858719 NPPES
Iowa MEDICAID 0808204
Iowa MEDICAID 0652099

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