MEDICARE: BLOOMFIELD IA SKILLED NURSING FACILITY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1093580821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLOOMFIELD IA SKILLED NURSING FACILITY LLC

Provider Business Mailing Address
First Line	:	800 N DAVIS ST
Second Line	:
City	:	BLOOMFIELD
State	:	IA
Zip	:	52537-1107
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 N DAVIS ST
Second Line	:
City	:	BLOOMFIELD
State	:	IA
Zip	:	52537-1107
Country	:	US
Telephone Number	:	641-664-2699
Fax Number	:

Authorized Official
Title or Position	:	PRINCIPAL
Name	:	CHAIM RAJCHENBACH
Credential	:
Telephone Number	:	847-745-7000

Provider Enumeration Date	:	11/21/2023
Last Update Date	:	07/22/2024

Similar Medicare Providers

1174525760 — ABCM CORPORATION
Practice Location Address:

800 N DAVIS ST
BLOOMFIELD, IA
52537-1107

Practice Phone: 641-664-2699
Practice Fax: 641-664-2929

1356345144 — DR. JAMES A KOUBA D.D.S.
Practice Location Address:

107 S PINE ST
BLOOMFIELD, IA
52537-1519

Practice Phone: 641-664-1121
Practice Fax: 641-664-2107

1184623985 — DR. DONALD RICHARD WIRTANEN D.O.
Practice Location Address:

202 N MADISON ST
BLOOMFIELD, IA
52537-1425

Practice Phone: 641-664-1400
Practice Fax: 641-664-1410

1760482426 — MRS. DIANNE KAY KNAPP ARNP
Practice Location Address:

509 N MADISON ST
BLOOMFIELD, IA
52537-1271

Practice Phone: 641-664-3832
Practice Fax:

1346242930 — ABCM CORPORATION
Practice Location Address:

11 DEBORAH DR
BLOOMFIELD, IA
52537-1174

Practice Phone: 641-664-2523
Practice Fax:

1396738902 — MARY L GRAEFF MD
Practice Location Address:

509 N MADISON ST
BLOOMFIELD, IA
52537-1271

Practice Phone: 641-664-3832
Practice Fax: 641-664-1857

Directions to “BLOOMFIELD IA SKILLED NURSING FACILITY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.