Pacific Place

LBN: Five Star Quality Care-Ia, Llc
Pacific Place is an health care organization with primary practice located at 20937 Kane Ave , Pacific Junction IA 51561-4242. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Five Star Quality Care-Ia, Llc can be contacted via phone (712) 622-8144, or through Mackey, Bruce J via phone (617) 796-8387.

Contact Information

Primary practice address
20937 Kane Ave Pacific Junction IA 51561-4242
Phone: (712) 622-8144
Fax: (712) 622-8158
Website:
Map and Directions
Authorized official contact:
Name: Mackey, Bruce J
Phone: (617) 796-8387

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1881640993
LBN Legal business name Five Star Quality Care-Ia, Llc
DBA Doing business as Pacific Place
Authorized official Mackey, Bruce J
Entity Organization
Organization subpart 1 Yes
Enumeration date May 26th, 2006
Last updated May 29th, 2008 - about 18 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 1881640993 NPPES
Iowa MEDICAID 0881573

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