Eastern Star Masonic Home
Eastern Star Masonic Home is a Custodial Care Facility in Boone, Iowa. Licensed in Iowa. Registered with an NPI since 2005.
- Licensed in
- IA
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
715 W Mamie Eisenhower AveBoone, IA 50036-3930
Phone: (515) 432-5274
Fax: (515) 432-5276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence N-0268 (IA) |
|---|---|
| Custodial Care Facility | Taxonomy 311Z00000X · Licence R-268 (IA) |
| Nursing Facility/Intermediate Care Facility | Taxonomy 313M00000X · Licence N-0268 (IA) |
Record details
| NPI number | 1740283795 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Scott Armstrong — Director Of Compliance · (515) 709-4398 |
| NPI enumerated | May 23, 2005 |
| Last updated in NPPES | January 27, 2025 |
| Certification date | January 27, 2025 |
| Mailing address | 715 W Mamie Eisenhower Ave, Boone, IA 50036-3930 |
Other providers in Boone
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Eastern Star Masonic Home
715 W Mamie Eisenhower Ave, Boone, IA 50036-3930 · (515) 432-5274