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DOUGLAS CARE CENTER LLC NPI 1548206642


NPI Information

NPI: 1548206642
Provider Name: DOUGLAS CARE CENTER, LLC

Former Legal Business Name: ABERDEEN CARE CENTER, LLC DBA DOUGLAS CARE CENTER

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 53D1057028

Address:
1108 BIRCH
DOUGLAS, WY
ZIP 82633
Phone: (307) 358-3397
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DOUGLAS CARE CENTER, LLC is a skilled nursing facility in Douglas, WY. The provider is (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. DOUGLAS CARE CENTER, LLC NPI is 1548206642. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Aberdeen Care Center, Llc Dba Douglas Care Center.

The provider's business location address is:

1108 BIRCH
DOUGLAS, WY
ZIP 82633
Phone: (307) 358-3397
Fax: (307) 358-2842

The provider's authorized official is Ramon Joseph Rude .
The authorized official title is Partner and has the following contact phone number (406) 655-1883.

The CLIA number assigned to this NPI record is 53D1057028 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 4/28/2009.


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
1314000000XSkilled Nursing FacilityYes

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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