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ABCM CORPORATION NPI 1427050038


NPI Information

NPI: 1427050038
Provider Name: ABCM CORPORATION

Doing Business As: EMERALD OAKS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 16D1063297

Address:
2603 17TH ST
EMMETSBURG, IA
ZIP 50536
Phone: (712) 852-4266
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ABCM CORPORATION is an assisted living facility in Emmetsburg, 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. ABCM CORPORATION NPI is 1427050038. The provider is registered as an organization entity type.
The provider Is Doing Business As Emerald Oaks.

The provider's business location address is:

2603 17TH ST
EMMETSBURG, IA
ZIP 50536-032
Phone: (712) 852-4266

The provider's authorized official is Timothy Roberts .
The authorized official title is Cfo and has the following contact phone number (641) 456-5636.

The CLIA number assigned to this NPI record is 16D1063297 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2005 and was last updated on 10/12/2009.


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 FacilityS0169IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10282145MEDICAIDIOWA

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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