Provider Demographics
NPI:1306839501
Name:WASHINGTON CARE CENTER
Entity Type:Organization
Organization Name:WASHINGTON CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE PLAN COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BRONWYN
Authorized Official - Middle Name:MAUREEN
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:319-653-6526
Mailing Address - Street 1:601 E POLK ST
Mailing Address - Street 2:P.O. BOX 892
Mailing Address - City:WASHINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52353-1238
Mailing Address - Country:US
Mailing Address - Phone:319-653-6526
Mailing Address - Fax:319-653-2216
Practice Address - Street 1:601 E POLK ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IA
Practice Address - Zip Code:52353-1238
Practice Address - Country:US
Practice Address - Phone:319-653-6526
Practice Address - Fax:319-653-2216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA920146311500000X, 313M00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
Not Answered313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Not Answered314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0809574Medicaid
IA0809574Medicaid