BARTELS LUTHERAN HOME
Alzheimer Center
Waverly, Iowa
Provider NPI: 1013904432
Organization Information:Organization Name: BARTELS LUTHERAN HOME
Practice Location:
1922 5TH AVE NW WAVERLY, IA 50677 US
Tel: 319-352-4540 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1922 5TH AVE NW WAVERLY, IA 50677 US
Tel: 319-352-4540 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | IA | |
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | 090286 | |
Y | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | IA | 090286 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0800169 | IA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin