Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EASTERN STAR MASONIC HOME
Active OrganizationEASTERN STAR MASONIC HOME is a Custodial Care Facility organization located in BOONE, Iowa. NPI 1619046596 is currently active in the NPPES registry. Verify at CMS.
Custodial Care Facility · BOONE, IA
Registration Details
- NPI Number
- 1619046596
- Provider Type
- Organization
- NPI Issued
- Nov 7, 2006 (19.778723136295 yrs)
- Last Updated
- Jan 27, 2025
- License
-
R-268 (IA)
Practice Information
- Address
-
715 W MAMIE EISENHOWER AVEBOONE, IA, 500363930Browse IA providers · Browse ZIP 50036
- Phone
- 5154325274
- Fax
- 5154325276
- Primary Specialty
-
Custodial Care Facility
311Z00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.