Stacyville Community Nursing Home in Stacyville - Skilled Nursing Facility
Stacyville Community Nursing Home - NPI 1053396218
Stacyville Community Nursing Home is a Skilled Nursing Facility in Stacyville, Iowa. Stacyville Community Nursing Home practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Stacyville Community Nursing Home is 1053396218. The last update date is 2011-12-08.
Stacyville Community Nursing Home's current location address is 413 S. Broad Street, Stacyville, Iowa. You can contact this provider via phone number 6417102215 and fax number 6417102158. The mailing address for Stacyville Community Nursing Home is 413 S. Broad Street, Stacyville, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stacyville Community Nursing Home |
|---|---|
| Address | 413 S. Broad Street, Stacyville, Iowa |
| Phone Number | 6417102215 |
| Fax Number | 6417102158 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Wineinger Lee Jordan |
| Credentials | NHA |
| Telephone Number | 6417102215 |
NPI Number Detail
| NPI Number | 1053396218 |
|---|---|
| Provider Enumeration Date | 2005-12-09 |
| Last Updated Date | 2011-12-08 |
Provider Mailing Address Detail
| Address | 413 S. Broad Street |
|---|---|
| City | Stacyville |
| State | Iowa (IA) |
| Post Code | 504765003 |
| Phone Number | 6417102215 |
| Fax Number | 6417102158 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 660408 |
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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 |
|---|---|---|---|
| 893107 | IA | -- | |
| 803783 | IA | -- |
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What is the Stacyville Community Nursing Home's 1053396218?
The Stacyville Community Nursing Home's NPI (National Provider Identifier) Number is 1053396218. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the unique identifier code issued to Stacyville Community Nursing Home by the Centers for Medicare & Medicaid Services (CMS)?
The Stacyville Community Nursing Home has been assigned the NPI (National Provider Identifier) 1053396218. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Stacyville Community Nursing Home located?
The Stacyville Community Nursing Home is located at 413 S. Broad Street, Stacyville, IA 504765003.
What is the Stacyville Community Nursing Home's specialty and taxonomy code?
The Stacyville Community Nursing Home's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
When was the information pertaining to Stacyville Community Nursing Home most recently updated or revised?
The details related to Stacyville Community Nursing Home, including its address, specialty, and other relevant information, were last updated or revised on 2011-12-08.