Thomas Rest Haven

LBN: Thomas Rest Haven
Thomas Rest Haven is an health care organization with primary practice located at 217 Main St , Coon Rapids IA 50058-1605. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Thomas Rest Haven can be contacted via phone (712) 999-2253, or through Venteicher, Mary Jane via phone (712) 999-2253.

Contact Information

Primary practice address
217 Main St Coon Rapids IA 50058-1605
Phone: (712) 999-2253
Fax: (712) 999-5669
Website:
Map and Directions
Authorized official contact:
Name: Venteicher, Mary Jane
Phone: (712) 999-2253

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X 140430 Iowa
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 140430 Iowa

Profile Details

NPI number 1215919949
LBN Legal business name Thomas Rest Haven
DBA Doing business as
Authorized official Venteicher, Mary Jane
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2005
Last updated Dec 14th, 2011 - about 14 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 1215919949 NPPES
Iowa Other 65358 WELLMARK
Iowa MEDICAID 0803973 WELLMARK

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