Golden Age Skilled Nursing & Rehab
LBN: Golden Age, Inc.
Golden Age Skilled Nursing & Rehab is an health care organization with primary practice located at 1915 S 18Th St , Centerville IA 52544-3102. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Golden Age, Inc. can be contacted via phone (641) 856-2761, or through Birchem, Stan L via phone (641) 856-2757.
Contact Information
Primary practice address
1915 S 18Th St
Centerville IA 52544-3102
Phone: (641) 856-2761
Fax: (641) 856-2762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 040983 | Iowa |
| Respite Care Facility / Respite Care | 385H00000X | 040983 | Iowa |
Profile Details
| NPI number | 1356428718 |
|---|---|
| LBN Legal business name | Golden Age, Inc. |
| DBA Doing business as | Golden Age Skilled Nursing & Rehab |
| Authorized official | Birchem, Stan L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Dec 4th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356428718 | NPPES |
| Iowa | Other | 65257 | BCBS PROVIDER # |
| Iowa | MEDICAID | 0168922 | BCBS PROVIDER # |
| Iowa | MEDICAID | 0809376 | BCBS PROVIDER # |
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