BUENA VISTA MANOR – NPI #1740497403
Respite Care

BUENA VISTA MANOR is a respite care facility located in STORM LAKE, IA. NPPES has assigned the NPI number 1740497403 to BUENA VISTA MANOR on May 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BUENA VISTA MANOR” is a dba name, the actual legal business name for this organization is BUENA VISTA MANOR, INC.. The primary taxonomy selected by this provider is 385H00000X from the Health Care Provider Taxonomy code set, which is classified as Respite Care.

The NPI profile was previously updated about 15 years ago on Jul 15, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BUENA VISTA MANOR below.

NPI Profile for
BUENA VISTA MANOR, INC.

NPI Number
1740497403
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BUENA VISTA MANOR, INC.
Doing Business As (dba): BUENA VISTA MANOR
Primary location
1325 LAKE AVE
STORM LAKE, IA 50588-1907
Phone: (515) 223-6064 Fax: (515) 226-1244
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KENNETH CARLSON
GENERAL MANAGER
Phone: (515) 223-6064
Updated
Identifiers

Identifiers for BUENA VISTA MANOR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIA0478248
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
385H00000X
- Respite Care (Primary)		 IA 0478248

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.