Provider Demographics
NPI:1235216912
Name:THE CONTINENTAL CARE CENTER AT SEYMOUR, INC.
Entity Type:Organization
Organization Name:THE CONTINENTAL CARE CENTER AT SEYMOUR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:BURTON
Authorized Official - Last Name:BURCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-856-2744
Mailing Address - Street 1:400 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:IA
Mailing Address - Zip Code:52590-1227
Mailing Address - Country:US
Mailing Address - Phone:641-898-2294
Mailing Address - Fax:641-898-7340
Practice Address - Street 1:400 E 4TH ST
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:IA
Practice Address - Zip Code:52590-1227
Practice Address - Country:US
Practice Address - Phone:641-898-2294
Practice Address - Fax:641-898-7340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA165505314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0809822Medicaid
IA0809822Medicaid