<Unavail>

LBN: Lakeside Lutheran Home
<Unavail> is an health care organization with primary practice located at 301 N Lawler St , Emmetsburg IA 50536-1073. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Lakeside Lutheran Home can be contacted via phone (712) 852-4060, or through Porath, Larry E via phone (712) 852-4060.

Contact Information

Primary practice address
301 N Lawler St Emmetsburg IA 50536-1073
Phone: (712) 852-4060
Fax: (712) 852-9914
Website:
Map and Directions
Authorized official contact:
Name: Porath, Larry E
Phone: (712) 852-4060

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X 740436 Iowa
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 740436 Iowa

Profile Details

NPI number 1902981061
LBN Legal business name Lakeside Lutheran Home
DBA Doing business as <Unavail>
Authorized official Porath, Larry E
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Dec 21st, 2011 - about 15 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 1902981061 NPPES
Iowa MEDICAID 0802181

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