Provider Demographics
NPI:1780659599
Name:AKRON CARE CENTER, INC.
Entity Type:Organization
Organization Name:AKRON CARE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:VERROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-568-2422
Mailing Address - Street 1:991 HWY. 3
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:IA
Mailing Address - Zip Code:51001-8890
Mailing Address - Country:US
Mailing Address - Phone:712-568-2422
Mailing Address - Fax:712-568-2424
Practice Address - Street 1:991 HWY. 3
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:IA
Practice Address - Zip Code:51001-8890
Practice Address - Country:US
Practice Address - Phone:712-568-2422
Practice Address - Fax:712-568-2424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-23
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA750085313M00000X, 332BN1400X
IAI153313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0179333Medicaid
IA0800045Medicaid
IA0800045Medicaid
IA0662000001Medicare NSC