Ottumwa Manor

LBN: Ottumwa Development
Ottumwa Manor is an health care organization with primary practice located at 927 Pennsylvania Ave , Ottumwa IA 52501-2138. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Ottumwa Development can be contacted via phone (641) 684-4594, or through Broerman, Helen J via phone (641) 684-4594.

Contact Information

Primary practice address
927 Pennsylvania Ave Ottumwa IA 52501-2138
Phone: (641) 684-4594
Fax: (641) 684-9519
Website:
Map and Directions
Authorized official contact:
Name: Broerman, Helen J
Phone: (641) 684-4594

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 900432 Iowa

Profile Details

NPI number 1144216995
LBN Legal business name Ottumwa Development
DBA Doing business as Ottumwa Manor
Authorized official Broerman, Helen J
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1144216995 NPPES
Iowa MEDICAID 0803056

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