Provider Demographics
NPI:1952395311
Name:WEST POINT CARE CENTER
Entity Type:Organization
Organization Name:WEST POINT CARE CENTER
Other - Org Name:WEST POINT CARE CENTER INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:HOCKING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-837-6117
Mailing Address - Street 1:PO BOX 398
Mailing Address - Street 2:607 N 6TH STREET
Mailing Address - City:WEST POINT
Mailing Address - State:IA
Mailing Address - Zip Code:52656-0398
Mailing Address - Country:US
Mailing Address - Phone:319-837-6117
Mailing Address - Fax:319-837-6186
Practice Address - Street 1:607 6TH ST
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:IA
Practice Address - Zip Code:52656-9502
Practice Address - Country:US
Practice Address - Phone:319-837-6117
Practice Address - Fax:319-837-6186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAN0646313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA16E568Medicaid