Edgewood Convalescent Home

LBN: Edgewood Convalescent Home, Inc.
Edgewood Convalescent Home is an health care organization with primary practice located at 513 Bell St , Edgewood IA 52042-0039. 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. Edgewood Convalescent Home, Inc. can be contacted via phone (563) 928-6461, or through Perrinjaquet, Kevin via phone (563) 928-6461.

Contact Information

Primary practice address
513 Bell St Edgewood IA 52042-0039
Phone: (563) 928-6461
Fax: (563) 928-6462
Website:
Map and Directions
Authorized official contact:
Name: Perrinjaquet, Kevin
Phone: (563) 928-6461

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 280322 Iowa

Profile Details

NPI number 1497715494
LBN Legal business name Edgewood Convalescent Home, Inc.
DBA Doing business as Edgewood Convalescent Home
Authorized official Perrinjaquet, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2006
Last updated Feb 9th, 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 1497715494 NPPES
Iowa MEDICAID 0801084
Iowa Other 16D0671499

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