Grand Haven Llc in Eldridge - Assisted Living Facility
Grand Haven Llc - NPI 1174716542
Grand Haven Llc is a Assisted Living Facility in Eldridge, Iowa. Grand Haven Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Grand Haven Llc is 1174716542. The last update date is 2007-08-20.
Grand Haven Llc's current location address is 201 E. Franklin St, Eldridge, Iowa. You can contact this provider via phone number 5632854900 and fax number 5632854911. The mailing address for Grand Haven Llc is 201 E. Franklin St, Eldridge, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grand Haven Llc |
|---|---|
| Address | 201 E. Franklin St, Eldridge, Iowa |
| Phone Number | 5632854900 |
| Fax Number | 5632854911 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Fahrenkrog Joni |
| Telephone Number | 5632854900 |
NPI Number Detail
| NPI Number | 1174716542 |
|---|---|
| Provider Enumeration Date | 2007-08-20 |
| Last Updated Date | 2007-08-20 |
Provider Mailing Address Detail
| Address | 201 E. Franklin St |
|---|---|
| City | Eldridge |
| State | Iowa (IA) |
| Post Code | 52748 |
| Phone Number | 5632854900 |
| Fax Number | 5632854911 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | S0260 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| S0260 | IA | ASSISTED LIVING |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Grand Haven Llc by the Centers for Medicare & Medicaid Services?
The Grand Haven Llc has been issued the NPI (National Provider Identifier) 1174716542, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Grand Haven Llc is located?
The Grand Haven Llc is situated at the following address: 201 E. Franklin St, Eldridge, IA, 52748.
What is Grand Haven Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Grand Haven Llc is Assisted Living Facility, and the taxonomy code that classifies this field of practice is 310400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174716542 to Grand Haven Llc?
The Centers for Medicare & Medicaid Services assigned the 1174716542 to Grand Haven Llc on 2007-08-20.
As of what date were the details pertaining to Grand Haven Llc last refreshed?
The information related to the Grand Haven Llc, including its address, specialty, and other relevant details, was last updated on 2007-08-20.
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