Abcm Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

950927 Issued in IA

Legal business name

ABCM CORPORATION

Doing business as

Lake Mills Care Center

Practice address

406 S 10TH Ave E
Lake Mills, IA 50450-1851

Phone

(641) 592-4900

Fax

(641) 592-2226

NPI assigned

Aug 12, 2005

Last updated

Oct 19, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Timothy Roberts

Title

Cfo

Phone

(641) 456-5636

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lake Mills Care Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1700888369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 4TH ST NE",
            "city": "HAMPTON",
            "state": "IA",
            "postal_code": "504411104",
            "telephone_number": "641-456-5636",
            "fax_number": "641-456-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S 10TH AVE E",
            "city": "LAKE MILLS",
            "state": "IA",
            "postal_code": "504501851",
            "telephone_number": "641-592-4900",
            "fax_number": "641-592-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABCM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-456-5636"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "950927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0804807",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "65366",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Mills Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abcm Corporation (Healthy Living Home Care by Mills Harbour Ind & Assisted Living)
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• Andrew Robert Anderson, DC
• Scott Marlin Bosacker, D.D.S
• Dana John Dakken, DC

• Skilled Nursing Facility in Lake Mills, IA
• Providers in Lake Mills, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.