Provider Demographics
NPI:1740428366
Name:TOUCHSTONE LIVING CENTER, LLC
Entity Type:Organization
Organization Name:TOUCHSTONE LIVING CENTER, LLC
Other - Org Name:TOUCHSTONE LIVING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-252-5859
Mailing Address - Street 1:520 NEBRASKA ST
Mailing Address - Street 2:SUITE 233
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51101-1307
Mailing Address - Country:US
Mailing Address - Phone:712-258-5859
Mailing Address - Fax:712-293-0531
Practice Address - Street 1:1800 INDIAN HILLS DR
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51104-1518
Practice Address - Country:US
Practice Address - Phone:712-239-4582
Practice Address - Fax:712-239-2041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-04
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA165161Medicare Oscar/Certification