Blue Care Opco Mitchellville, LLC
Organization Active NPI Nursing Facility/Intermediate Care Facility · Mitchellville, IA
NPI 1124763354 · NPPES record last updated May 2, 2022
Key facts
- NPI
- 1124763354
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- Legal business name
- BLUE CARE OPCO MITCHELLVILLE, LLC
- Practice address
- 114 Carter St SW
Mitchellville, IA 50169-5000 - Phone
- (732) 637-9191
- NPI assigned
- May 2, 2022
- Organization subpart
- No
Authorized official
- Name
- Shmeul Haikins
- Title
- Owner
- Phone
- (732) 637-9191
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Yes |
Addresses
Primary practice location
114 Carter St SW
Mitchellville, IA 50169-5000
Mailing address
36 Airport Rd # S206
Lakewood, NJ 08701-7034
Other providers in Mitchellville, IA
- John W. Anderson
- City of Mitchellville
- Steven Michael Cook
- Des Moines Central Correctional Pharmacy
- Jered Flinkman
- Cherlyn Anne Gingras
All providers in Mitchellville, IA · Nursing Facility/Intermediate Care 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 May 2, 2022. 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.