Assisted Living Concepts Inc
Organization Active NPI Assisted Living Facility · Sergeant Bluff, IA
NPI 1073700399 · NPPES record last updated Oct 1, 2007
Key facts
- NPI
- 1073700399
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- S0062
- Legal business name
- ASSISTED LIVING CONCEPTS INC
- Practice address
- 403 C Street
Sergeant Bluff, IA 51054 - Phone
- (712) 943-7171
- Fax
- (712) 943-7172
- NPI assigned
- Oct 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Walter A Levonowich
- Title
- Vice President Controller
- Phone
- (262) 257-8888
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Assisted Living Concepts Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | S0062 | Yes |
Addresses
Primary practice location
403 C Street
Sergeant Bluff, IA 51054
Mailing address
W140 N8981 Lilly Road
Attn Legal Department
Menomonee Falls, WI 53051-2325
Phone (262) 257-8888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 545475 | Medicaid | IA |
Other names
- Floyd House
Other providers in Sergeant Bluff, IA
- Becky Admire
- Peggy L Anderson
- Eileen M Barto
- Richard Keith Bokemper
- Kaley Bubke
- Eric Andrew Campbell
- Chiropractic Health Care PC
All providers in Sergeant Bluff, IA · Assisted Living Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.