Eastern Star Masonic Home in Boone - Nursing Facility/intermediate Care Facility
Eastern Star Masonic Home - NPI 1740283795
Eastern Star Masonic Home is a Nursing Facility/intermediate Care Facility in Boone, Iowa. Eastern Star Masonic Home practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Eastern Star Masonic Home is 1740283795. The last update date is 2008-03-04.
Eastern Star Masonic Home's current location address is 715 W 3rd St, Boone, Iowa. You can contact this provider via phone number 5154325274 and fax number 5154325276. The mailing address for Eastern Star Masonic Home is 715 W 3rd St, Boone, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastern Star Masonic Home |
|---|---|
| Address | 715 W 3rd St, Boone, Iowa |
| Phone Number | 5154325274 |
| Fax Number | 5154325276 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Bock A. Dennis |
| Telephone Number | 5154325274 |
NPI Number Detail
| NPI Number | 1740283795 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2008-03-04 |
Provider Mailing Address Detail
| Address | 715 W 3rd St |
|---|---|
| City | Boone |
| State | Iowa (IA) |
| Post Code | 5003639300 |
| Phone Number | 5154325274 |
| Fax Number | 5154325276 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | N-0268 |
|
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 890210 | IA | -- | |
| 801076 | IA | -- |
Post Comment/ Review Below
What is the Eastern Star Masonic Home's unique identification number?
The Eastern Star Masonic Home has been assigned the NPI (National Provider Identifier) Number 1740283795 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Eastern Star Masonic Home's physical address?
The Eastern Star Masonic Home is physically located at 715 W 3Rd St, in the city of Boone, IA, with the postal code 5003639300.
What is the Eastern Star Masonic Home's area of specialization and corresponding taxonomy classification?
The Eastern Star Masonic Home's specialty field is Nursing Facility/intermediate Care Facility, and it falls under the taxonomy code 313M00000X, which categorizes healthcare providers based on their specialties.
When did the Eastern Star Masonic Home receive its 1740283795?
The Eastern Star Masonic Home was issued its 1740283795 on 2005-05-23, which is the date when the organization was assigned this unique identifier.
On what date did the Eastern Star Masonic Home receive its 1740283795 assignment from the Centers for Medicare & Medicaid Services?
The Eastern Star Masonic Home was assigned its 1740283795 by the Centers for Medicare & Medicaid Services on 2005-05-23.
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