Waverley - Casa De Paz, Inc. in Sioux City - Skilled Nursing Facility
Waverley - Casa De Paz, Inc. - NPI 1770577405
Waverley - Casa De Paz, Inc. is a Skilled Nursing Facility in Sioux City, Iowa. Waverley - Casa De Paz, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Waverley - Casa De Paz, Inc. is 1770577405. The last update date is 2008-09-16.
Waverley - Casa De Paz, Inc.'s current location address is 2121 W 19th St, Sioux City, Iowa. You can contact this provider via phone number 7122333127 and fax number 7122581177. The mailing address for Waverley - Casa De Paz, Inc. is 2121 W 19th St, Sioux City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Waverley - Casa De Paz, Inc. |
|---|---|
| Address | 2121 W 19th St, Sioux City, Iowa |
| Phone Number | 7122333127 |
| Fax Number | 7122581177 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY |
|---|---|
| Authorized Official Name | Dunbar R. Chauncey |
| Credentials | CPA |
| Telephone Number | 6019561576 |
NPI Number Detail
| NPI Number | 1770577405 |
|---|---|
| Provider Enumeration Date | 2005-09-08 |
| Last Updated Date | 2008-09-16 |
Provider Mailing Address Detail
| Address | 2121 W 19th St |
|---|---|
| City | Sioux City |
| State | Iowa (IA) |
| Post Code | 511032333 |
| Phone Number | 7122333127 |
| Fax Number | 7122581177 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 970125 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806919 | IA | -- | |
| 474718 | IA | DME | |
| 609950001 | IA | PART B SUPPLIER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Waverley - Casa De Paz, Inc. by the Centers for Medicare & Medicaid Services?
The Waverley - Casa De Paz, Inc. has been issued the NPI (National Provider Identifier) 1770577405 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Waverley - Casa De Paz, Inc.?
The Waverley - Casa De Paz, Inc. is situated at 2121 W 19Th St, in the city of Sioux City, state of IA, with the zip code 511032333.
What is the area of specialization for Waverley - Casa De Paz, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Waverley - Casa De Paz, Inc. is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.
On what date did the Waverley - Casa De Paz, Inc. receive the assignment of its 1770577405 from the Centers for Medicare & Medicaid Services?
The Waverley - Casa De Paz, Inc. was issued its 1770577405 by the Centers for Medicare & Medicaid Services on 2005-09-08.
As of what date was the information pertaining to Waverley - Casa De Paz, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Waverley - Casa De Paz, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-09-16.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN