COLONIAL MANOR OF COLUMBUS COMMUNITY (NPI# 1174519672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174519672 |
| Entity Type | Organization |
| Organization Name | COLONIAL MANOR OF COLUMBUS COMMUNITY |
| Practice Address |
814 Springer Ave Columbus Junction IA 52738-1305 |
| Mailing Address |
814 Springer Ave P.o. Box 266 Columbus Junction IA 52738-1305 |
| Practice Telephone | 3197282276 |
| Practice Fax Number | 3197288998 |
| Mailing Telephone | 3197282276 |
| Mailing Fax Number | 3197288998 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RICHARD A KIRSCHLING (ADMINISTRATOR) |
| Authorized Official Telephone | 3197282276 |
| Authorized Official Credential | CEO/ADMINISTRATO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities | ||
| X | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0809061 | 05 |
| Street Address |
814 SPRINGER AVE |
| City | COLUMBUS JUNCTION |
| State | IA |
| Zip Code | 52738-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982779724 | Colonial Manors of Columbus Comunity Inc | Clinic/Center | 814 Springer Ave, Columbus Junction, IA 52738-1305 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265618805 | Community Health Centers of Southeastern Iowa Inc | Clinic/Center | 241 Colonels Drive, Columbus Jct, IA 52738 | 2008-01-14 |
| 1548360688 | Gary P Englert | Chiropractor | 205 E. Access Rd., Columbus Junction, IA 52738 | 2006-09-25 |
| 1851333942 | Brian D Masonholder | Family Medicine | 109 E Walnut St, Columbus Junction, IA 52738-1014 | 2006-06-12 |
| 1295777639 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 111 E Walnut St, Columbus Junction, IA 52738-1014 | 2006-06-11 |
| 1710526215 | Thomas Richard Gantenbein | Pharmacist | 111 E Walnut St, Columbus Junction, IA 52738-1014 | 2019-12-31 |
| 1457901977 | Danielle Kristine Woepking | Nurse Practitioner | 109 E Walnut St, Columbus Junction, IA 52738-1014 | 2019-09-17 |
| 1710499678 | Mercy Services Iowa City, Inc. | Clinic/Center | 109 E Walnut St, Columbus Junction, IA 52738-1014 | 2017-11-01 |
| 1043835218 | Cory D Nielson | Physical Therapist | 104 Main St, Columbus Junction, IA 52738-1028 | 2020-06-12 |
| 1538203922 | Louisa County Ambulance | Ambulance | 105 Gamble St, Columbus Junction, IA 52738-1219 | 2007-02-18 |
| 1073690954 | Columbus Community Schools | Local Education Agency (LEA) | 1210 Colton St, Columbus Junction, IA 52738-9307 | 2006-10-31 |
| Find all providers in zip 52738 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389346 | Perry Lutheran Home - Rowley Campus LLC | Nursing Facility/Intermediate Care Facility | 1300 28th St, Perry, IA 50220-2329 | 2020-09-01 |
| 1225546948 | Creekside, Inc | Nursing Facility/Intermediate Care Facility | 503 Wical Way, Grundy Center, IA 50638-0000 | 2018-01-16 |
| 1679920946 | Roy Gonzalez | Nursing Facility/Intermediate Care Facility | 40 Ridgeview Rd, Sioux City, IA 51104-4052 | 2016-05-17 |
| 1609241926 | Monica Wincentsen | Nursing Facility/Intermediate Care Facility | 122 Euclid Ave, Norway, IA 52318 | 2015-12-11 |
| 1003246000 | Keystone Nursing Care Center, Inc | Nursing Facility/Intermediate Care Facility | 280 5th St, Suite 2, Keystone, IA 52249-9533 | 2013-11-13 |
| 1346434826 | Shenandoah Enterprises LLC | Nursing Facility/Intermediate Care Facility | 1201 S Walnut St, Shenandoah, IA 51601-2176 | 2007-08-28 |
| 1952528424 | S.t.l. Care Company | Nursing Facility/Intermediate Care Facility | 1220 5th Ave Se, Cedar Rapids, IA 52403-4049 | 2007-04-19 |
| 1568686236 | Martin Health Center, Inc. | Nursing Facility/Intermediate Care Facility | 420 E 11th St, Cedar Falls, IA 50613-3364 | 2007-04-12 |
| 1548386675 | Longhouse-northshire, Ltd | Nursing Facility/Intermediate Care Facility | 711 W 11th St, Spencer, IA 51301-3237 | 2007-03-21 |
| 1083738132 | Spurgeon Manor, Inc. | Nursing Facility/Intermediate Care Facility | 1204 Linden St, Dallas Center, IA 50063-1052 | 2007-03-16 |
| Find all providers with the same taxonomy | ||||
| City | COLUMBUS JUNCTION |
| Zip Code | 52738 |
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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.