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GREAT RIVER CHILD CARE INC.

Respite Care, Intellectual and/or Developmental Disabilities

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

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Contact Information

GREAT RIVER CHILD CARE INC.
639 S CENTRAL AVE
BURLINGTON, IA  52601-3946
 Phone: 319-752-0940
 Fax: 319-752-0941
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Respite Care, Intellectual and/or Developmental Disabilities

 385HR2060X
Indicates primary specialty

NPI Profile & details for GREAT RIVER CHILD CARE INC.

NPI Number 1104022953
LBN Legal business name GREAT RIVER CHILD CARE INC.
Authorized official NANCY TUCKER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
IA License # 4129000011
IA Medicaid 0418160
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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