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ESTHERVILLE AL WINDSOR MANOR NPI 1144765561


NPI Information

NPI: 1144765561
Provider Name: ESTHERVILLE AL WINDSOR MANOR
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 16D2094911

Address:
2015 3RD AVE N
ESTHERVILLE, IA
ZIP 51334
Phone: (712) 362-0171
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ESTHERVILLE AL WINDSOR MANOR is an assisted living facility in Estherville, IA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ESTHERVILLE AL WINDSOR MANOR NPI is 1144765561. The provider is registered as an organization entity type.

The provider's business location address is:

2015 3RD AVE N
ESTHERVILLE, IA
ZIP 51334-740
Phone: (712) 362-0171
Fax: (712) 362-0034

The provider's authorized official is Patty M Youll .
The authorized official title is Executive Director and has the following contact phone number (712) 362-0171.

The CLIA number assigned to this NPI record is 16D2094911 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2016 and was last updated on 12/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityS0352IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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