ELMWOOD PE, LLC (NPI# 1144593252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144593252 |
Entity Type | Organization |
Organization Name | ELMWOOD PE, LLC |
Other Organization Name | ELMWOOD ASSISTED LIVING |
Practice Address |
190 15th St Onawa IA 51040-1071 |
Practice Telephone | 7124232510 |
Practice Fax Number | 7124231754 |
Mailing Telephone | 7124232510 |
Mailing Fax Number | 7124231754 |
Enumeration Date | 2012-02-21 |
Last Update Date | 2012-02-21 |
Authorized Official Name | MR. RICHARD T MASON (AUTHORIZED REPRESENTATIVE) |
Authorized Official Telephone | 8883912373 |
Is Organization Subpart | Y |
Parent Organization Name | IANE PROPERTIES I, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0223552 | 05 |
Other Name | Type Code |
---|---|
Elmwood Assisted Living | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | ELMWOOD PE, LLC | 5115 East State Road 64, Bradenton, FL 34208 |
Street Address |
190 15TH ST |
City | ONAWA |
State | IA |
Zip Code | 51040-1071 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083997811 | Mark Leslie Georgopoulos | Physical Therapy Assistant | 225 15th St., Onawa, IA 51040 | 2011-09-28 |
1851889117 | Ashton Marie Pruett | Nurse Practitioner | 1614 Diamond Street Pl, Onawa, IA 51040 | 2018-04-23 |
1013437441 | Susan Renee Mclaughlin | General Acute Care Hospital | 1600 Diamond St, Onawa, IA 51040 | 2017-06-27 |
1093120826 | Kathryn Moore | Family Medicine | 1614 Diamond Street Pl, Onawa, IA 51040 | 2014-07-01 |
1265485031 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 2220 Highway 175 W, Onawa, IA 51040-0149 | 2006-05-19 |
1194788620 | Elmwood Care Center LLC | Assisted Living Facility | 222 15th St, Onawa, IA 51040-1025 | 2006-04-07 |
1750542296 | Barbara J Parks | Physical Therapy Assistant | 222 15th St, Onawa, IA 51040-1025 | 2008-06-18 |
1275705865 | Kathryn L Mosier | Physical Therapy Assistant | 222 15th St, Onawa, IA 51040-1025 | 2008-03-24 |
1659566362 | Jocelyn Hinkle | Occupational Therapist | 222 15th St, Onawa, IA 51040-1025 | 2007-09-06 |
1396948741 | Vicky Carlson | Physical Therapy Assistant | 222 15th St, Onawa, IA 51040-1025 | 2007-06-05 |
Find all providers in zip 51040 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194788620 | Elmwood Care Center LLC | Assisted Living Facility | 222 15th St, Onawa, IA 51040-1025 | 2006-04-07 |
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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.