The Ellen Kennedy Living Center

LBN: The Ellen Kennedy Living Center
The Ellen Kennedy Living Center is an health care organization with primary practice located at 1177 7Th St Sw Ste #1, Dyersville IA 52040-2513. 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. The Ellen Kennedy Living Center can be contacted via phone (563) 875-6323, or through Wittmeyer, Kari Anne via phone (563) 875-6323.

Contact Information

Primary practice address
1177 7Th St Sw Ste #1 Dyersville IA 52040-2513
Phone: (563) 875-6323
Fax: (563) 875-6268
Website:
Map and Directions
Authorized official contact:
Name: Wittmeyer, Kari Anne
Phone: (563) 875-6323

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X S0155 Iowa

Profile Details

NPI number 1184837593
LBN Legal business name The Ellen Kennedy Living Center
DBA Doing business as
Authorized official Wittmeyer, Kari Anne
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2007
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 1184837593 NPPES
Iowa MEDICAID 0282384

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