Provider Demographics
NPI:1194555607
Name:NORA SPRINGS IA SKILLED NURSING FACILITY, LLC
Entity type:Organization
Organization Name:NORA SPRINGS IA SKILLED NURSING FACILITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:CHAIM
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJCHENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-745-7000
Mailing Address - Street 1:907 W CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:NORA SPRINGS
Mailing Address - State:IA
Mailing Address - Zip Code:50458-7747
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:907 W CONGRESS ST
Practice Address - Street 2:
Practice Address - City:NORA SPRINGS
Practice Address - State:IA
Practice Address - Zip Code:50458-7747
Practice Address - Country:US
Practice Address - Phone:641-749-5331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care