Provider Demographics
NPI:1194386128
Name:BCP WINTERSET, LLC
Entity Type:Organization
Organization Name:BCP WINTERSET, LLC
Other - Org Name:AZRIA HEALTH WINTERSET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:N
Authorized Official - Last Name:KAMINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-399-4918
Mailing Address - Street 1:702 S HIGHWAY 6
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:NE
Mailing Address - Zip Code:68028-7970
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1015 W SUMMIT ST
Practice Address - Street 2:
Practice Address - City:WINTERSET
Practice Address - State:IA
Practice Address - Zip Code:50273-2209
Practice Address - Country:US
Practice Address - Phone:515-462-1711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-20
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility