FRIENDSHIP HAVEN, INC (NPI# 1114922481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114922481 |
| Entity Type | Organization |
| Organization Name | FRIENDSHIP HAVEN, INC |
| Practice Address |
420 Kenyon Rd Fort Dodge IA 50501-5749 |
| Practice Telephone | 5155732121 |
| Practice Fax Number | 5155736045 |
| Mailing Telephone | 5155732121 |
| Mailing Fax Number | 5155736045 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2008-08-21 |
| Authorized Official Name | NANCY HAMILTON (ADMINISTRATOR) |
| Authorized Official Telephone | 5155736003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 940037 | IA | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 940037 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 801308 | 05 | |
| IA | 175968 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | FRIENDSHIP HAVEN, INC. | 420 Kenyon Rd, Fort Dodge, IA 50501 |
| Street Address |
420 KENYON RD |
| City | FORT DODGE |
| State | IA |
| Zip Code | 50501-5749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457637894 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 420 Kenyon Rd, Fort Dodge, IA 50501-5749 | 2011-10-31 |
| 1598966814 | Rose Monson | Physical Therapy Assistant | 420 Kenyon Rd, Fort Dodge, IA 50501-5749 | 2007-05-31 |
| 1700809407 | Friendship Haven Pharmacy | Pharmacy | 420 Kenyon Rd, Fort Dodge, IA 50501-5749 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023523412 | Katelin Judith Hartmann | Nurse Practitioner | 2913 5th Ave S, Fort Dodge, IA 50501 | 2017-12-06 |
| 1619338365 | John Clay Dds, Plc | Dentist | 1905 North 15th Street, Fort Dodge, IA 50501 | 2016-03-09 |
| 1710350517 | Alexandria Doyle | Nurse Practitioner | 800 Kenyon Road, Fort Dodge, IA 50501 | 2015-11-03 |
| 1366859993 | Heather Maureen Stillman Anderson | Dentist | 126 North 10th Street, Fort Dodge, IA 50501 | 2014-07-15 |
| 1205261575 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2029 5th Ave. South, Fort Dodge, IA 50501 | 2013-09-05 |
| 1952693020 | Riley Armstrong Plg & Htg, Inc | Contractor | 11 No. 20th St, Fort Dodge, IA 50501 | 2011-05-09 |
| 1407001639 | Marta Karyn Kramer | Pharmacist | 1428 2nd Ave No., Fort Dodge, IA 50501 | 2008-12-02 |
| 1427251305 | Andrew Bryant Sonksen | Dentist | 1716 1st Ave South, Fort Dodge, IA 50501 | 2007-06-07 |
| 1720127475 | John H Garton | Dentist | 1210 3rd Avenue South, Fort Dodge, IA 50501 | 2007-02-06 |
| 1912043746 | Aaron Mobley | Chiropractor | 1234 Central Ave, Fort Dodge, IA 50501 | 2007-01-29 |
| Find all providers in zip 50501 | ||||
| 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 |
|---|---|---|---|---|
| 1881859510 | State of Kansas - Accounting Services | Skilled Nursing Facility | 200 Custer Street, Fort Dodge, KS 67843 | 2008-07-22 |
| 1396884961 | Kansas Soldiers Home | Skilled Nursing Facility | 201 Custer, Fort Dodge, KS 67801 | 2007-02-06 |
| 1811945520 | Greenleaf Health Care | Skilled Nursing Facility | 1305 N 22nd St, Fort Dodge, IA 50501-2117 | 2006-05-05 |
| 1942293667 | Qhc Fort Dodge Villa LLC | Skilled Nursing Facility | 2721 10th Ave N, Fort Dodge, IA 50501-2834 | 2005-08-28 |
| 1164429775 | Usa Healthcare Fort Dodge | Skilled Nursing Facility | 728 14th Ave N, Fort Dodge, IA 50501-7016 | 2005-06-29 |
| 1376549972 | Marian Home | Skilled Nursing Facility | 2400 6th Ave N, Fort Dodge, IA 50501-3541 | 2005-06-28 |
| 1104110642 | Gypsum Creek Healthcare, Inc. | Skilled Nursing Facility | 728 14th Ave N, Fort Dodge, IA 50501-7016 | 2011-06-01 |
| 1922290998 | Careage Management, LLC | Skilled Nursing Facility | 728 14th Ave N, Fort Dodge, IA 50501-7016 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647165 | Ema Rehabilitation, LLC | Skilled Nursing Facility | 1831 E Kanesville Blvd, Council Bluffs, IA 51503-4767 | 2020-10-22 |
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1114547395 | Bvm-phs Senior Housing Inc | Skilled Nursing Facility | 1160 Carmel Dr, Dubuque, IA 52003-7911 | 2020-04-17 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1023679057 | Bcp Union Park, LLC | Skilled Nursing Facility | 2401 E 8th St, Des Moines, IA 50316-1717 | 2019-06-20 |
| 1639637143 | Wellspire LLC | Skilled Nursing Facility | 5508 Nw 88th St, Johnston, IA 50131-3005 | 2019-03-05 |
| 1356807101 | Accura Healthcare of Aurelia LLC | Skilled Nursing Facility | 401 W 5th St, Aurelia, IA 51005-7712 | 2019-02-18 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1255828919 | Brio of Johnston, LLC | Skilled Nursing Facility | 6901 Peckham St, Johnston, IA 50131-3143 | 2018-04-18 |
| Find all providers with the same taxonomy | ||||
| City | FORT DODGE |
| Zip Code | 50501 |
Please comment or provide details below to improve the information on FRIENDSHIP HAVEN, INC.
| 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.