Evans Memorial Home

LBN: Evans Memorial Home For The Aged, Inc.
Evans Memorial Home is an health care organization with primary practice located at 1010 N Elm St , Cresco IA 52136-1083. 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. Evans Memorial Home For The Aged, Inc. can be contacted via phone (563) 547-2364, or through Chensvold, Donald L via phone (319) 362-8916.

Contact Information

Primary practice address
1010 N Elm St Cresco IA 52136-1083
Phone: (563) 547-2364
Fax: (563) 547-5013
Website:
Map and Directions
Authorized official contact:
Name: Chensvold, Donald L
Phone: (319) 362-8916

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 450329 Iowa

Profile Details

NPI number 1093708141
LBN Legal business name Evans Memorial Home For The Aged, Inc.
DBA Doing business as Evans Memorial Home
Authorized official Chensvold, Donald L
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2005
Last updated Sep 8th, 2010 - about 16 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 1093708141 NPPES
Iowa MEDICAID 0801209

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