<Unavail>

LBN: Kismet Spl - A, Llc
<Unavail> is an health care organization with primary practice located at 1819 23Rd St , Spirit Lake IA 51360-7096. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Kismet Spl - A, Llc can be contacted via phone (712) 336-3553, or through Moore, Michael L. via phone (605) 642-7736.

Contact Information

Primary practice address
1819 23Rd St Spirit Lake IA 51360-7096
Phone: (712) 336-3553
Fax: (712) 336-5717
Website:
Map and Directions
Authorized official contact:
Name: Moore, Michael L.
Phone: (605) 642-7736

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X S0025 Iowa

Profile Details

NPI number 1063870152
LBN Legal business name Kismet Spl - A, Llc
DBA Doing business as <Unavail>
Authorized official Moore, Michael L.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2016
Last updated Feb 27th, 2019 - about 7 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 1063870152 NPPES
Iowa MEDICAID 0404033

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