Liebe Inc,
Organization Active NPI Skilled Nursing Facility · Nashua, IA
NPI 1790781086 · NPPES record last updated Sep 29, 2016
Key facts
- NPI
- 1790781086
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0718 (IA)
- Legal business name
- LIEBE INC,
- Practice address
- 100 Poppe LN
Nashua, IA 50658-9704 - Phone
- (641) 435-4040
- NPI assigned
- Jun 22, 2005
- Organization subpart
- No
Authorized official
- Name
- Terra Hillegas
- Title
- Administrator
- Phone
- (641) 435-4040
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D1053867 | Cedar Vale Assisted Living | Certificate of waiver | May 7, 2028 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0718 | IA | Yes |
Addresses
Primary practice location
100 Poppe LN
Nashua, IA 50658-9704
Mailing address
100 Poppe LN
Nashua, IA 50658-9704
Phone (641) 435-4040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0808774 | Medicaid | IA |
Other names
- Cedar Vale Assisted Living
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All providers in Nashua, IA · Skilled Nursing 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 Sep 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.