Eventide is a Custodial Care Facility in Denison, Iowa. Eventide practices all healthcare services and medical treatments related to Custodial Care Facility. The NPI Number for Eventide is 1417944265. The last update date is 2013-10-17.
Eventide's current location address is 114 S 20th St, Denison, Iowa. You can contact this provider via phone number 7122633114 and fax number 7122638819. The mailing address for Eventide is 114 S 20th St, Denison, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eventide |
|---|---|
| Address | 114 S 20th St, Denison, Iowa |
| Phone Number | 7122633114 |
| Fax Number | 7122638819 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Baker Renae Mindi |
| Credentials | NHA |
| Telephone Number | 7122633114 |
NPI Number Detail
| NPI Number | 1417944265 |
|---|---|
| Provider Enumeration Date | 2005-10-05 |
| Last Updated Date | 2013-10-17 |
Provider Mailing Address Detail
| Address | 114 S 20th St |
|---|---|
| City | Denison |
| State | Iowa (IA) |
| Post Code | 514422251 |
| Phone Number | 7122633114 |
| Fax Number | 7122638819 |
Provider's Primary Taxonomy Detail
| Speciality | Custodial Care Facility |
|---|---|
| Taxonomy | 311Z00000X |
| Licence No | 890475 |
|
Definition: A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 801217 | IA | -- | |
| 890475 | IA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Eventide by the Centers for Medicare & Medicaid Services?
The Eventide has been issued the NPI (National Provider Identifier) 1417944265. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Eventide is geographically located?
The Eventide is physically situated at the following location: 114 S 20Th St, Denison, IA, 514422251.
What is Eventide's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eventide is Custodial Care Facility, and the taxonomy code that categorizes this field of expertise is 311Z00000X.
On what date was the 1417944265 assigned to Eventide?
The Eventide was issued its 1417944265 on 2005-10-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Eventide most recently updated or revised?
The information pertaining to Eventide, including its address, specialty, and other relevant details, was last updated or revised on 2013-10-17.