Provider Demographics
NPI:1477957843
Name:MMS HEALTHCARE LLC
Entity Type:Organization
Organization Name:MMS HEALTHCARE LLC
Other - Org Name:CEDAR HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:MCCALL
Authorized Official - Last Name:STEINKRUGER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, NHA, BS
Authorized Official - Phone:641-228-1612
Mailing Address - Street 1:807 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:CHARLES CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50616
Mailing Address - Country:US
Mailing Address - Phone:641-228-1612
Mailing Address - Fax:641-228-6747
Practice Address - Street 1:807 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CHARLES CITY
Practice Address - State:IA
Practice Address - Zip Code:50616-3319
Practice Address - Country:US
Practice Address - Phone:641-228-1612
Practice Address - Fax:641-228-6747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility