Organization
HOPE HAVEN INC
Active
Other names
Hope Haven
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE R OBBINK (CHIEF FINANCIAL OFFICER)
(712) 476-2737
Entity
Organization
Contact information
Practice address
1800 19TH STREET, ROCK VALLEY, IA 51247
(712) 476-2737
(712) 476-3110
Mailing address
1800 19TH STREET, ROCK VALLEY, IA 51247
(712) 476-2737
(712) 476-3110
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0880666
IA
313M00000X
Nursing Facility/Intermediate Care Facility
0892745
IA
313M00000X
Nursing Facility/Intermediate Care Facility
0893065
IA
313M00000X
Nursing Facility/Intermediate Care Facility
0893073
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0096628
HCBS RB SCL
—
01
—
0231621
ARO
—
01
—
0248252
ARO
—
01
—
0880666
ICF MR
—
01
—
0892745
RCF MR
—
01
—
0893065
RCF MR
—
01
—
0893073
RCF MR
—
01
—
1103788
REMEDIAL
IA
05
—
1560862
—
IA
05
—
4950121
—
IA
Enumeration date
10/19/2006
Last updated
01/30/2008
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