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Waverley - Casa De Paz, Inc.
Durable Medical Equipment & Medical Supplies in Sioux City, Iowa
NPI 1770577405

Waverley - Casa De Paz, Inc. is a Durable Medical Equipment & Medical Supplies based in Sioux City, IA. Waverley - Casa De Paz, Inc. practices in Sioux City, IA. The NPI Number for Waverley - Casa De Paz, Inc. is 1770577405 and holds a License No. 970125 (Iowa).

The current practice location address for Waverley - Casa De Paz, Inc. is 2121 W 19Th St, Sioux City, IA and can be reached out via phone at 712-233-3127 and via fax at 712-233-1177.

Location: 2121 W 19Th St, Sioux City, IA, 51103-2333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770577405
Provider Name
Waverley - Casa De Paz, Inc.
Credential
Provider Entity Type
Organization
Address
2121 W 19Th St, Sioux City, IA, 51103-2333
Phone Number
712-233-3127
Fax Number
712-233-1177
Provider Enumeration Date
09/08/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0806919 05 IA
0474718 01 IA DME
0609950001 01 IA PART B SUPPLIER NUMBER
institution
Provider Business Practice Location Address Details
Address
2121 W 19Th St
City
Sioux City
State
Iowa
Zip
51103-2333
Phone Number
712-233-3127
Fax Number
712-233-1177
person
Provider Business Mailing Address Details
Address
2121 W 19Th St
City
Sioux City
State
Iowa
Zip
51103-2333
Phone Number
712-233-3127
Fax Number
712-233-1177
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
0474718 (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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
970125 (Iowa)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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