COLONIAL MANOR OF ELMA NPI 1609027549

NPI Information

  • NPI: 1609027549
  • Provider Name: COLONIAL MANOR OF ELMA
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Address: 407 9TH ST
    ELMA, IA
    ZIP 50628
  • Phone: (641) 393-2125

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NPI Details

COLONIAL MANOR OF ELMA is a rehabilitation clinic center in Elma, IA. COLONIAL MANOR OF ELMA NPI is 1609027549. The provider is registered as an organization entity type.

The provider's business location address is:

407 9TH ST
ELMA, IA
ZIP 50628-217
Phone: (641) 393-2125

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 enumeration date for this NPI number is 10/9/2008 and was last updated on 10/18/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationIOWAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10653865MEDICAIDIOWA

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: 3/30/2025

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