MANOR CARE OF WATERLOO IA LLC (NPI# 1003854944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003854944 |
| Entity Type | Organization |
| Organization Name | MANOR CARE OF WATERLOO IA LLC |
| Other Organization Name | MANORCARE HEALTH SERVICES |
| Practice Address |
201 W Ridgeway Ave Waterloo IA 50701-4235 |
| Mailing Address |
333 N Summit St Toledo OH 43604-2615 |
| Practice Telephone | 3192347777 |
| Practice Fax Number | 3192346671 |
| Mailing Telephone | 4192525500 |
| Mailing Fax Number | 8773859446 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2017-05-22 |
| Authorized Official Name | MR. MARTIN D ALLEN (DIRECTOR) |
| Authorized Official Telephone | 4192525734 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NF-361 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0800005 | 05 |
| Other Name | Type Code |
|---|---|
| ManorCare Health Services | Doing Business As Name - Organization |
| Street Address |
201 W RIDGEWAY AVE |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-4235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225537574 | Morgan Marie Sharp | Nurse Practitioner | 201 W Ridgeway Ave, Waterloo, IA 50701-4235 | 2018-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548780828 | Monroe County | Skilled Nursing Facility | 623 Hamacher St, Waterloo, IL 62298-1786 | 2017-06-27 |
| 1780657247 | Care Initiatives | Skilled Nursing Facility | 2651 Saint Francis Dr, Waterloo, IA 50702-5442 | 2006-02-07 |
| 1063484780 | Care Initiatives | Skilled Nursing Facility | 2001 Heath Street, Waterloo, IA 50703-1214 | 2006-02-06 |
| 1174525505 | Abcm Corporation | Skilled Nursing Facility | 2950 W Shaulis Rd, Waterloo, IA 50701-9702 | 2005-08-15 |
| 1194724906 | Canterbury Manor Nursing Center Inc | Skilled Nursing Facility | 718 N Market St, Waterloo, IL 62298-1014 | 2005-07-14 |
| 1942205182 | Seneca Nursing and Rehabilitation | Skilled Nursing Facility | 200 Douglas Dr, Waterloo, NY 13165-1645 | 2005-06-15 |
| 1164424487 | Monroe County | Skilled Nursing Facility | 623 Hamacher Street, Waterloo, IL 62298-1598 | 2005-06-01 |
| 1285106567 | Black Hawk Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 1410 W Dunkerton Rd, Waterloo, IA 50703-9648 | 2018-12-26 |
| 1003289372 | Orthopaedic and Neurological Rehabilitation,inc | Skilled Nursing Facility | 2651 Saint Francis Dr, Waterloo, IA 50702-5442 | 2015-11-08 |
| 1639348873 | Friendship Village Inc. | Skilled Nursing Facility | 600 Park Ln, Waterloo, IA 50702-5200 | 2008-02-21 |
| Find all providers in WATERLOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.