Dave's Place LLC
NPI 1366740268ActiveOrganization· Intermediate Care Facility, Mental Illness· Keokuk, IA
Intermediate Care Facility, Mental Illness in Keokuk, Iowa, registered in NPPES in March 2011. The authorized official on file is Michael Blume, LNHA, ALMC, LBSW, BS, Administrator. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1366740268 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 2, 2011 |
| Last updated in NPPES | Sep 15, 2023 |
| Certified by provider | Sep 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Mental Illness Primary | 310500000X | — | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (IA) |
|---|