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Contact Information

KAHL HOME FOR THE AGED & INFIRM
6701 JERSEY RIDGE ROAD
DAVENPORT, IA52807
 Phone: 563-324-1621
 Fax: 563-324-1723
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for KAHL HOME FOR THE AGED & INFIRM

NPI Number 1013910553
LBN Legal business name KAHL HOME FOR THE AGED & INFIRM
Authorized official KIMBERLY HUFSEY - (ADMINISTRATOR/TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/28/2005
Last updated 08/30/2018 - About 8 years ago
Identifiers
IA License # 820128
IA Medicaid 0802108
IA Other 165146 MEDICARE
IA Other 165146 WELLMARK BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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