Organization
EASTERN STAR MASONIC HOME
Active
Other names
Courtyard Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT DYLAN ARMSTRONG (DIRECTOR OF COMPLIANCE)
(515) 709-4398
Entity
Organization
Contact information
Practice address
715 W MAMIE EISENHOWER AVE, BOONE, IA 50036-3930
(515) 433-4406
(515) 433-4406
Mailing address
715 W MAMIE EISENHOWER AVE, BOONE, IA 50036-3930
(515) 433-4406
(515) 432-5276
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
SO177
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
X000298224
—
IA
Enumeration date
11/08/2006
Last updated
01/27/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up