National Provider Identifier Database

AMENITY HEALTHCARE LLC
Hospice Care, Community Based


Contact Information

AMENITY HEALTHCARE, LLC
5005 BOWLING ST SW STE B
CEDAR RAPIDS, IA52404-5070
Phone: 319-362-2500
Fax: 319-362-2501
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for AMENITY HEALTHCARE, LLC

NPI Number 1003813908
Legal business name
LBN
AMENITY HEALTHCARE, LLC
Authorized official RUSSELL ADKINS - (SVP GENERAL COUNSEL)
Entity Organization
Organization subpart No
Enumeration date 07/07/2005
Last updated 03/12/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IA License #: STATE DOES NOT ISSUE
  • IA Medicaid: 0615716
  • IA Other: 7251528 AETNA
  • IA Other: 61566 WELLMARK BCBS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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