LAN SILVER PINES LLC


Address: 136 36th Ave Sw, Cedar Rapids, IA 52404-4638
Phone: 3193626868

LAN SILVER PINES LLC (NPI# 1013375310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013375310
Entity Type Organization
Organization Name LAN SILVER PINES LLC
Other Organization Name BROOKDALE CEDAR RAPIDS
Practice Address 136 36th Ave Sw
Cedar Rapids
IA 52404-4638
Mailing Address 4252 Manor Dr
Marshall
VA 20115-3701
Practice Telephone 3193626868
Practice Fax Number 3193637312
Mailing Telephone 5403640155
Mailing Fax Number 5403640446
Enumeration Date 2016-02-02
Last Update Date 2016-02-02
Authorized Official Name SHANDA LONDON (AUTHORIZED OFFICIAL)
Authorized Official Telephone 2066236239
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311Z00000X Custodial Care Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Brookdale Cedar Rapids Doing Business As Name - Organization

Office Location

Street Address 136 36TH AVE SW
City CEDAR RAPIDS
State IA
Zip Code 52404-4638

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Taxonomy Information

Taxonomy Code 311Z00000X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility

Taxonomy Definition

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093105975 Shellsburg Associates Custodial Care Facility 401 Canton St Nw, Shellsburg, IA 52332-9624 2015-01-29
1760686067 Mitchell County Care Facility Custodial Care Facility 3834 March Ave, Osage, IA 50461-8372 2007-06-12
1528261286 Pursuit of Independence Custodial Care Facility 104 West Ohio, Lenox, IA 50851 2007-06-08
1538360151 Morse Enterprises Inc Custodial Care Facility 2876 230th St, Sidney, IA 51652-6086 2007-05-30
1508996901 Country Life Health Care Inc Custodial Care Facility 2554 Ford Ave, Oskaloosa, IA 52577-8850 2007-03-06
1992832356 Insight Human Services Custodial Care Facility 915 South Iris Street, Suite 101, Mt Pleasant, IA 52641 2007-02-27
1588709976 Country View Estates, Inc. Custodial Care Facility 2345 Redwood Ave, Guthrie Center, IA 50115-8888 2007-02-21
1760524763 Community Memorial Health Center Custodial Care Facility 611 3rd St Ne, Hartley, IA 51346-1262 2007-02-13
1861534265 Makee Manor Inc Custodial Care Facility 877 Highway 9, Waukon, IA 52172-7757 2007-02-13
1215080635 Hillside Estate Inc Custodial Care Facility 2227 225th St, Williamsburg, IA 52361-8503 2007-01-19
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Competitor

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City CEDAR RAPIDS
Zip Code 52404

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Dataset Information

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.

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