Eastern Star Masonic Home is a Skilled Nursing Facility based in Boone, IA. Eastern Star Masonic Home practices in Boone, IA. The NPI Number for Eastern Star Masonic Home is 1740283795 and holds a License No. R-268 (Iowa).
The current practice location address for Eastern Star Masonic Home is 715 W Mamie Eisenhower Ave, Boone, IA and can be reached out via phone at 515-432-5274 and via fax at 515-432-5276.
Location: 715 W Mamie Eisenhower Ave, Boone, IA, 50036-3930
Provider Profile Details
NPI Number
1740283795
Provider Name
Eastern Star Masonic Home
Credential
Provider Entity Type
Organization
Address
715 W Mamie Eisenhower Ave, Boone, IA, 50036-3930
Phone Number
515-432-5274
Fax Number
515-432-5276
Provider Enumeration Date
05/23/2005
Last Update Date
02/15/2025
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0801076 | 05 | IA | |
| 0890210 | 05 | IA | |
| X000298224 | 05 | IA |
Provider Business Practice Location Address Details
Address
715 W Mamie Eisenhower Ave
City
State
Zip
50036-3930
Phone Number
515-432-5274
Fax Number
515-432-5276
Provider Business Mailing Address Details
Address
715 W Mamie Eisenhower Ave
City
State
Zip
50036-3930
Phone Number
515-432-5274
Fax Number
515-432-5276
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
-
Taxonomy
License No.
N-0268 (Iowa)
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
License No.
N-0268 (Iowa)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
License No.
R-268 (Iowa)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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