<Unavail>

LBN: Community Nursing Home Inc
<Unavail> is an health care organization with primary practice located at 115 N Hilton , Clarksville IA 50619-7936. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Home Delivered Meals, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Community Nursing Home Inc can be contacted via phone (319) 278-4900, or through Mennenga, Henry J via phone (319) 278-4900.

Contact Information

Primary practice address
115 N Hilton Clarksville IA 50619-7936
Phone: (319) 278-4900
Fax: (319) 278-4166
Website:
Map and Directions
Authorized official contact:
Name: Mennenga, Henry J
Phone: (319) 278-4900

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 120205 Iowa
Suppliers / Home Delivered Meals 332U00000X 120205 Iowa
Respite Care Facility / Respite Care 385H00000X 120205 Iowa

Profile Details

NPI number 1952307472
LBN Legal business name Community Nursing Home Inc
DBA Doing business as <Unavail>
Authorized official Mennenga, Henry J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2005
Last updated Jan 18th, 2012 - about 14 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 1952307472 NPPES
Iowa MEDICAID 0800821
Iowa MEDICAID 0790030

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