Odebolt Assisted Living, L.L.C.

LBN: Odebolt Assisted Living, L.L.C.
Odebolt Assisted Living, L.L.C. is an health care organization with primary practice located at 799 S. Des Moines , Odebolt IA 51458. 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. Odebolt Assisted Living, L.L.C. can be contacted via phone (712) 668-4867, or through Dixon, David via phone (515) 224-4442.

Contact Information

Primary practice address
799 S. Des Moines Odebolt IA 51458
Phone: (712) 668-4867
Fax: (712) 668-2268
Website:
Map and Directions
Authorized official contact:
Name: Dixon, David
Phone: (515) 224-4442

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X S0250 Iowa

Profile Details

NPI number 1417174772
LBN Legal business name Odebolt Assisted Living, L.L.C.
DBA Doing business as
Authorized official Dixon, David
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Nov 10th, 2022 - about 4 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 1417174772 NPPES
Iowa MEDICAID 0747568

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