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Abcm Corporation

Organization Active NPI Assisted Living Facility · Guttenberg, IA

NPI 1205200748 · NPPES record last updated Nov 20, 2015

Key facts

NPI
1205200748
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
License
S0354 (IA)
Legal business name
ABCM CORPORATION
Practice address
1329 Acre St
Guttenberg, IA 52052-9594
Phone
(563) 252-2288
NPI assigned
Nov 20, 2015
Organization subpart
No

Authorized official

Name
Mr. Timothy Roberts
Title
Cfo
Phone
(641) 456-5636

Corporate family (same tax ID) 21

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2105138Eagle Ridge Independent & Assisted Living
1329 Acre Street, Guttenberg, IA 52052		Certificate of waiverNov 17, 2027

National Provider Directory

Tax ID family
Abcm Corporation (51 organizations share this tax ID)

Locations

1329 Acre St
Guttenberg, IA 52052
Phone (563) 252-2288

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X S0354 IA Yes

Addresses

Primary practice location

1329 Acre St
Guttenberg, IA 52052-9594

Mailing address

1320 4TH St NE
Hampton, IA 50441-1104
Phone (641) 456-5636

Other names

  • EAGLE RIDGE INDEPENDENT & ASSISTED LIVING Doing business as

Other providers in Guttenberg, IA

All providers in Guttenberg, IA · Assisted Living Facility in Iowa

Sources for this page

Verify at the official NPI Registry.