SCENIC ACRES (NPI# 1093937260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093937260 |
| Entity Type | Organization |
| Organization Name | SCENIC ACRES |
| Practice Address |
23105 Granite Avenue Saint Olaf IA 52074-8049 |
| Practice Telephone | 5632452640 |
| Practice Fax Number | 5632451945 |
| Mailing Telephone | 5632452640 |
| Mailing Fax Number | 5632451945 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SANDRA F. SEIFERT (ADMINISTRATOR) |
| Authorized Official Telephone | 5632452640 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 0418152 | IA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0418152 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508930660 | Scenic Acres | Custodial Care Facility | 23105 Granite Ave, Saint Olaf, IA 52072-8049 | 2006-11-20 |
| 1265646392 | Scenic Acres | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 23105 Granite Avenue, Saint Olaf, IA 52072-8049 | 2007-05-09 |
| 1174737209 | Scenic Acres | Custodial Care Facility | 23105 Granite Avenue, Saint Olaf, IA 52072-8049 | 2007-05-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SCENIC ACRES | 23105 Granite Avenue, St. Olaf, IA 52072 |
| Washington State Corporations | SCENIC ACRES ORCHARD LLC | 11901 Zier Rd, Yakima, WA 98908-9229 |
| Oregon Corporations, Companies and Business Names | SCENIC ACRES, LLC | 4640 Scenic Ave, Central Point, OR 97502 |
| Street Address |
23105 GRANITE AVENUE |
| City | SAINT OLAF |
| State | IA |
| Zip Code | 52074-8049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265646392 | Scenic Acres | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 23105 Granite Avenue, Saint Olaf, IA 52072-8049 | 2007-05-09 |
| 1174737209 | Scenic Acres | Custodial Care Facility | 23105 Granite Avenue, Saint Olaf, IA 52072-8049 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508930660 | Scenic Acres | Custodial Care Facility | 23105 Granite Ave, Saint Olaf, IA 52072-8049 | 2006-11-20 |
| 1265646392 | Scenic Acres | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 23105 Granite Avenue, Saint Olaf, IA 52072-8049 | 2007-05-09 |
| 1174737209 | Scenic Acres | Custodial Care Facility | 23105 Granite Avenue, Saint Olaf, IA 52072-8049 | 2007-05-09 |
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174976757 | North Iowa Juvenile Detention Services | Community Based Residential Treatment Facility, Mental Illness | 1440 W Dunkerton Rd, Waterloo, IA 50703-9648 | 2016-07-19 |
| 1982096608 | Resources for Human Development,inc. | Community Based Residential Treatment Facility, Mental Illness | 1146 Blairs Ferry Rd Ne, Suite 2, Cedar Rapids, IA 52402-1274 | 2015-03-04 |
| 1447658984 | Judy Alexander | Community Based Residential Treatment Facility, Mental Illness | 2219 W Hills Dr, Fairfield, IA 52556-4739 | 2014-12-16 |
| 1861824617 | Kingston Hill, Inc. | Community Based Residential Treatment Facility, Mental Illness | 202 12th St Nw, Cedar Rapids, IA 52405-3913 | 2013-08-04 |
| 1043554629 | Dac, Inc | Community Based Residential Treatment Facility, Mental Illness | 18720 250th Ave, Bellevue, IA 52031-8202 | 2012-11-20 |
| 1184745424 | Urban Dreams | Community Based Residential Treatment Facility, Mental Illness | 1410 6th Ave, Des Moines, IA 50314-2801 | 2007-04-03 |
| 1013044643 | Community Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 13241 County Home Road, E23, Scotch Grove, IA 52310 | 2007-02-28 |
| 1104951193 | Partnership for Progress | Community Based Residential Treatment Facility, Mental Illness | 60191 Willow St, Atlantic, IA 50022-8172 | 2007-02-22 |
| 1134264807 | Exceptional Persons, Inc | Community Based Residential Treatment Facility, Mental Illness | 1210 Idaho St, Waterloo, IA 50703-4328 | 2007-02-21 |
| 1558402271 | Mosaic | Community Based Residential Treatment Facility, Mental Illness | 600 9th Avenue, Council Bluffs, IA 51501-0000 | 2007-02-08 |
| Find all providers with the same taxonomy | ||||
| City | SAINT OLAF |
| Zip Code | 52074 |
Please comment or provide details below to improve the information on SCENIC ACRES.
| 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.