Provider Demographics
NPI:1497726012
Name:BISHOP DRUMM RETIREMENT CENTER
Entity Type:Organization
Organization Name:BISHOP DRUMM RETIREMENT CENTER
Other - Org Name:BISHOP DRUMM CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:RITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-247-4278
Mailing Address - Street 1:PO BOX 1962
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50305-1962
Mailing Address - Country:US
Mailing Address - Phone:515-270-1100
Mailing Address - Fax:515-276-1714
Practice Address - Street 1:5837 WINWOOD DR
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-1651
Practice Address - Country:US
Practice Address - Phone:515-270-1100
Practice Address - Fax:515-276-1714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-31
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IACCDI-885311500000X
IAN885314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA16E384Medicaid
IA16E384Medicaid