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ANAMOSA AID OPCO LLC NPI 1730550583


NPI Information

NPI: 1730550583
Provider Name: ANAMOSA AID OPCO LLC

Doing Business As: PINICON PLACE

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

CLIA Number: 16D0981050

Address:
1615 BRECA RIDGE DR
ANAMOSA, IA
ZIP 52205
Phone: (319) 462-3070
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ANAMOSA AID OPCO LLC is an assisted living facility in Anamosa, 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. ANAMOSA AID OPCO LLC NPI is 1730550583. The provider is registered as an organization entity type.
The provider Is Doing Business As Pinicon Place.

The provider's business location address is:

1615 BRECA RIDGE DR
ANAMOSA, IA
ZIP 52205-118
Phone: (319) 462-3070

The provider's authorized official is Peter Tarsney .
The authorized official title is Authorized Officer and has the following contact phone number (312) 725-7041.

The CLIA number assigned to this NPI record is 16D0981050 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2015 and was last updated on 10/19/2015.


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 Facility530956IOWAYes

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: 11/14/2023

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