Provider Demographics
NPI:1679221014
Name:AUBERON SKILLED LLC
Entity Type:Organization
Organization Name:AUBERON SKILLED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:HANCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:DRBA
Authorized Official - Phone:515-444-4969
Mailing Address - Street 1:2455 106TH ST
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-3701
Mailing Address - Country:US
Mailing Address - Phone:515-444-4969
Mailing Address - Fax:
Practice Address - Street 1:2455 106TH ST
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-3701
Practice Address - Country:US
Practice Address - Phone:515-444-4969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AUBERON INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health