Abcm Corporation
Organization Active NPI Assisted Living Facility · Mount Vernon, IA
NPI 1780686238 · NPPES record last updated Oct 12, 2009
Key facts
- NPI
- 1780686238
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- S0124 (IA)
- Legal business name
- ABCM CORPORATION
- Practice address
- 217 Highway 30 SW
Mount Vernon, IA 52314-1597 - Phone
- (319) 895-8249
- NPI assigned
- Aug 15, 2005
- Organization subpart
- No
Authorized official
- Name
- Timothy Roberts
- Title
- Cfo
- Phone
- (641) 456-5636
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Abcm Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | S0124 | IA | Yes |
Addresses
Primary practice location
217 Highway 30 SW
Mount Vernon, IA 52314-1597
Mailing address
1320 4TH St NE
Hampton, IA 50441-1104
Phone (641) 456-5636
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0725978 | Other | IA | MEDICAID AL WAIVER |
Other names
- Cherry Ridge
Other providers in Mount Vernon, IA
- Abcm Corporation
- Abcm Corporation
- Marla Kay Aboujawdeh
- Jack Aldershof
- Amped Physical Therapy & Performance
- Emily Appleton
- Aurora Aesthetics and Functional Medicine Clinic, PLLC
All providers in Mount Vernon, 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 12, 2009. 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.