Lake Mills Ia Skilled Nursing Facility, LLC
In Home Supportive Care in Lake Mills, IA. Organization (NPI-2).
NPI number1831929348
StatusActive
Last updated in NPPESAug 7, 2024
Details
- NPI
- 1831929348
- Entity type
- Organization (NPI-2)
- Legal business name
- Lake Mills Ia Skilled Nursing Facility, LLC
- Organization subpart
- No
- Enumeration date
- Aug 7, 2024
- Certification date
- Aug 7, 2024
- Last updated
- Aug 7, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
406 S 10th Ave ELake Mills, IA 50450-1851
Phone 641-592-4900
Mailing address
406 S 10th Ave ELake Mills, IA 50450-1851
Authorized official
Chaim Rajchenbach
Principal
8477457000
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