KAHL HOME FOR THE AGED & INFIRM (NPI# 1013910553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013910553 |
| Entity Type | Organization |
| Organization Name | KAHL HOME FOR THE AGED & INFIRM |
| Other Organization Name | KAHL HOME FOR THE AGED & INFIRM |
| Practice Address |
6701 Jersey Ridge Road Davenport IA 52807 |
| Mailing Address |
6701 Jersey Ridge Road Davenport IA 52807-3203 |
| Practice Telephone | 5633241621 |
| Practice Fax Number | 5633241723 |
| Mailing Telephone | 5633241621 |
| Mailing Fax Number | 5633241723 |
| Enumeration Date | 2005-05-28 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | KIMBERLY HUFSEY (ADMINISTRATOR/TREASURER) |
| Authorized Official Telephone | 5634843813 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 820128 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | MEDICARE | 165146 | 01 |
| IA | 0802108 | 05 | |
| IA | WELLMARK BLUE CROSS | 165146 | 01 |
| Other Name | Type Code |
|---|---|
| Kahl Home for the Aged & Infirm | Doing Business As Name - Organization |
| Street Address |
6701 JERSEY RIDGE ROAD |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| 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 |
|---|---|---|---|---|
| 1932362431 | Manorcare Health Services LLC | Skilled Nursing Facility | 3800 Commerce Blvd, Davenport, IA 52807-3495 | 2008-07-03 |
| 1730259813 | Lutheran Home for The Aged Association-east | Skilled Nursing Facility | 1130 W 53rd St, Davenport, IA 52806-2401 | 2006-11-08 |
| 1093819211 | Lincoln County Hospital District #3 | Skilled Nursing Facility | 10 Nichols St, Davenport, WA 99122-9729 | 2006-09-08 |
| 1871501486 | 206 Management LLC | Skilled Nursing Facility | 206 W Orange St, Davenport, FL 33837-3118 | 2006-08-03 |
| 1811922826 | Fejervary Health Care Center | Skilled Nursing Facility | 800 E Rusholme St, Davenport, IA 52803-2547 | 2006-07-11 |
| 1760420798 | Manor Care of Davenport Ia LLC | Skilled Nursing Facility | 815 E Locust St, Davenport, IA 52803-4345 | 2006-06-03 |
| 1962468769 | Petersen Health Care, Inc. | Skilled Nursing Facility | 4656 W Kimberly Rd, Davenport, IA 52806-7111 | 2006-04-21 |
| 1639615271 | Accordius Health At St Mary, LLC | Skilled Nursing Facility | 800 E Rusholme St, Davenport, IA 52803-2547 | 2017-01-06 |
| 1619427689 | Rusholme Healthcare, Inc. | Skilled Nursing Facility | 800 E Rusholme St, Davenport, IA 52803-2547 | 2016-10-13 |
| 1104255488 | 206 Golden LLC | Skilled Nursing Facility | 206 W Orange St, Davenport, FL 33837-3118 | 2013-11-06 |
| Find all providers in DAVENPORT | ||||
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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.