Osnabrock Communtiy Living Center Inc.
Organization Active NPI Adult Care Home Facility · Osnabrock, ND
NPI 1245678341 · NPPES record last updated Apr 30, 2014
Key facts
- NPI
- 1245678341
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- 8096 (ND)
- Legal business name
- OSNABROCK COMMUNTIY LIVING CENTER INC.
- Practice address
- 326 Rainbow Rd
Osnabrock, ND 58269-6901 - Phone
- (701) 496-3131
- Fax
- (701) 496-3133
- NPI assigned
- Jun 11, 2013
- Organization subpart
- No
Authorized official
- Name
- Kenneth Nelson
- Title
- Administrator
- Phone
- (701) 496-3131
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Osnabrock Community Living Center
Locations
326 Rainbow Rd
Osnabrock, ND 58269
Phone (701) 496-3131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 8096 | ND | Yes |
Addresses
Primary practice location
326 Rainbow Rd
Osnabrock, ND 58269-6901
Mailing address
326 Rainbow Rd
Osnabrock, ND 58269-6901
Phone (701) 496-3131
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070765246 | Other | ND | DUNS |
| 000030706 | Medicaid | ND | |
| 8096 | Other | ND | BASIC CARE LICENSE |
Other providers in Osnabrock, ND
- Dennis Warren Gage
- Osnabrock Community Living Center
- The Evangelical Lutheran Good Samaritan Society
- The Evangelical Lutheran Good Samaritan Society
All providers in Osnabrock, ND · Adult Care Home Facility in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2014. 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.