Organization
PREMIER ESTATES 506, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIDY BANCROFT (CONTROLLER)
(941) 758-4745
Entity
Organization
Contact information
Practice address
3661 ROCHESTER AVE, IOWA CITY, IA 52245-9271
(319) 351-7460
(319) 354-8428
Mailing address
5115 E STATE ROAD 64, BRADENTON, FL 34208-5509
(941) 758-4745
(941) 751-2135
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
520052
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800179
—
IA
Enumeration date
01/11/2016
Last updated
01/09/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us