Five Star Quality Care-Ia, Inc. in Glenwood - Intermediate Care Facility, Intellectual Disabilities
Five Star Quality Care-Ia, Inc. - NPI 1558301606
Five Star Quality Care-Ia, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Glenwood, Iowa. Five Star Quality Care-Ia, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Five Star Quality Care-Ia, Inc. is 1558301606. The last update date is 2016-04-22.
Five Star Quality Care-Ia, Inc.'s current location address is 114 E Green St, Glenwood, Iowa. You can contact this provider via phone number 7125274841 and fax number 7125273377. The mailing address for Five Star Quality Care-Ia, Inc. is 114 E Green St, Glenwood, Iowa. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Five Star Quality Care-Ia, Inc. |
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Address | 114 E Green St, Glenwood, Iowa |
Phone Number | 7125274841 |
Fax Number | 7125273377 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Mackey J. Bruce |
Telephone Number | 6177968214 |
NPI Number Detail
NPI Number | 1558301606 |
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Provider Enumeration Date | 2006-06-07 |
Last Updated Date | 2016-04-22 |
Provider Mailing Address Detail
Address | 114 E Green St |
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City | Glenwood |
State | Iowa (IA) |
Post Code | 515341902 |
Phone Number | 7125274841 |
Fax Number | 7125273377 |
Provider's Primary Taxonomy Detail
Speciality | Intermediate Care Facility, Intellectual Disabilities |
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Taxonomy | 315P00000X |
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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881565 | IA | -- |
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What is the Five Star Quality Care-Ia, Inc.'s 1558301606?
The Five Star Quality Care-Ia, Inc.'s NPI (National Provider Identifier) Number is 1558301606. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Five Star Quality Care-Ia, Inc. located?
The Five Star Quality Care-Ia, Inc. is located at 114 E Green St, Glenwood, IA 515341902.
What is Five Star Quality Care-Ia, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Five Star Quality Care-Ia, Inc. is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that categorizes this field of expertise is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1558301606 to Five Star Quality Care-Ia, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1558301606 to Five Star Quality Care-Ia, Inc. on 2006-06-07.
As of what date were the details related to Five Star Quality Care-Ia, Inc. most recently updated or revised?
The information pertaining to Five Star Quality Care-Ia, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2016-04-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY