HANSEN HOUSE MEMORY CARE RESIDENCE (NPI# 1174068969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174068969 |
| Entity Type | Organization |
| Organization Name | HANSEN HOUSE MEMORY CARE RESIDENCE |
| Practice Address |
2331 Nash Blvd Council Bluffs IA 51501-0914 |
| Practice Telephone | 7122564525 |
| Practice Fax Number | 7122564526 |
| Mailing Telephone | 7122564525 |
| Mailing Fax Number | 7122564526 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |
| Authorized Official Name | WILLIAM MCCARTY (OWNER) |
| Authorized Official Telephone | 4027092062 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | S0330 | IA | Nursing & Custodial Care Facilities |
| Street Address |
2331 NASH BLVD |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51501-0914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
| 1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
| 1518451152 | Naomi Kigondu | Registered Nurse | 2323 W Broadway Ste 100, Council Bluffs, IA 51501 | 2018-06-18 |
| 1710400361 | Travis John Alger | Chiropractor | 3424 W Broadway, Council Bluffs, IA 51501 | 2017-07-25 |
| 1124495692 | Jillian Kahl | Speech-Language Pathologist | 1500 N 16th St, Council Bluffs, IA 51501 | 2015-08-31 |
| 1932584323 | Leigh Healey | Dietitian, Registered | 2323 West Broadway, Council Bluffs, IA 51501 | 2015-07-27 |
| 1942558523 | Karen Irene Godin | Registered Nurse | 1702 N 16th Street, Council Bluffs, IA 51501 | 2012-08-29 |
| 1063787505 | Rebecca F Aboe | Dietitian, Registered | 1702 North 16th St., Council Bluffs, IA 51501 | 2012-03-16 |
| 1972883122 | Sara Ann Lott | Occupational Therapist | 1310 N. 17th St., Council Bluffs, IA 51501 | 2011-08-19 |
| 1700042884 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 3271 Marketplace Dr, Council Bluffs, IA 51501 | 2008-07-29 |
| Find all providers in zip 51501 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245565175 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 8525 Urbandale Ave, Urbandale, IA 50322-4108 | 2009-10-09 |
| 1952510018 | Legacy Active Living Retirement Community | Alzheimer Center (Dementia Center) | 15 Silvercrest Pl, Iowa City, IA 52240-2951 | 2007-05-22 |
| 1689752297 | Shady Rest, Inc. | Alzheimer Center (Dementia Center) | 701 Johnson St Nw, Cascade, IA 52033-7747 | 2006-11-01 |
| 1902981061 | Lakeside Lutheran Home | Alzheimer Center (Dementia Center) | 301 N Lawler St, Emmetsburg, IA 50536-1073 | 2006-10-26 |
| 1053338566 | Strawberry Point Lutheran Home for The Aged | Alzheimer Center (Dementia Center) | 313 Elkader St., Strawberry Pt., IA 52076-0034 | 2006-07-17 |
| 1497726012 | Bishop Drumm Retirement Center | Alzheimer Center (Dementia Center) | 5837 Winwood Dr, Johnston, IA 50131-1651 | 2006-01-31 |
| 1467422709 | Westview Acres Corp | Alzheimer Center (Dementia Center) | 203 Sw Lorraine St., Leon, IA 50144-1176 | 2006-01-26 |
| 1508850512 | Martin Luther Home Corporation | Alzheimer Center (Dementia Center) | 3131 Hillcrest Rd, Dubuque, IA 52001 | 2005-09-06 |
| 1528051901 | Lutheran Retirement Home, Inc. | Alzheimer Center (Dementia Center) | 701 9th St N, Northwood, IA 50459-1004 | 2005-08-31 |
| 1235643941 | Cedar Rapids Ia Home Care LLC | Alzheimer Center (Dementia Center) | 1221 Park Pl Ne, Cedar Rapids, IA 52402-2001 | 2017-11-17 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51501 |
Please comment or provide details below to improve the information on HANSEN HOUSE MEMORY CARE RESIDENCE.
| 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.