Organization Name: | HOMESTEAD OF CRESTON OPERATIONS LLC |
NPI Number: | 1578735452 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIKE TRYON (CHIEF FINANCE OFFICER) |
Mailing Address: | 1709 West Prairie Street Creston |
State: | IA US |
Postal Code: | 50801 |
Phone Number: | 6417823131 |
Fax Number: | 6417823176 |
NPI Enumeration Date: | 03/31/2008 |
NPI Last Update Date: | 11/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | S0270 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |