CARDINAL CARE CORP (NPI# 1174582985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174582985 |
| Entity Type | Organization |
| Organization Name | CARDINAL CARE CORP |
| Other Organization Name | DANVILLE CARE CENTER |
| Practice Address |
401 S Birch St Danville IA 52623-9613 |
| Mailing Address |
31 S 31st St Ste 2 Keokuk IA 52632-2264 |
| Practice Telephone | 3193924259 |
| Practice Fax Number | 3193924078 |
| Mailing Telephone | 3195242029 |
| Mailing Fax Number | 3195242046 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2015-01-08 |
| Authorized Official Name | MR. MARC R JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 2174409588 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 290870 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | CLIA | 16D0691717 | 01 |
| IA | 0805606 | 05 |
| Other Name | Type Code |
|---|---|
| Danville Care Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CARDINAL CARE CORP. | 31 South 31st Street Suite 2, Keokuk, IA 52632 |
| Street Address |
401 S BIRCH ST |
| City | DANVILLE |
| State | IA |
| Zip Code | 52623-9613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462811 | Adeline Rose Heald | Physical Therapy Assistant | 401 S Birch St, Danville, IA 52623-9613 | 2019-11-18 |
| 1174741854 | Healthcare of Iowa Inc | Skilled Nursing Facility | 401 S Birch St, Danville, IA 52623-9613 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508195447 | Danville Chiropractic PC | Chiropractor | 204 N. Main, Box 236, Danville, IA 52623-0236 | 2009-12-23 |
| 1104276120 | Shasta Ketchamconnelly | Physical Therapist | 508 S 1st Ave, Danville, IA 52623-9609 | 2016-06-21 |
| 1750454724 | Cynthia Ann Grothe | Chiropractor | 204 N Main St # 236, Danville, IA 52623-9620 | 2006-11-16 |
| 1235496118 | Michelle Gossen | Counselor | 204 N Main St, Danville, IA 52623-9620 | 2012-04-18 |
| 1356480677 | Russ D Reed | Counselor | 21589 Highway 79, Danville, IA 52623-9798 | 2007-02-05 |
| 1467670836 | Russ D. Reed | Counselor | 21589 Highway 79, Danville, IA 52623-9798 | 2007-04-23 |
| 1356480081 | Diane Reed | Counselor | 21589 Highway 79, Danville, IA 52623-9798 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538046 | Nancy Ann Blue | Pharmacist | 4101 N Vermilion St, Danville, IL 61834-5997 | 2020-11-06 |
| 1053912121 | Danville Downtown Dentistry LLC | Dentist | 94 S Tennessee St, Danville, IN 46122-1836 | 2020-11-05 |
| 1679174981 | Sherry K Hardison | Pharmacist | Walmart, 515 Mount Cross Road, Danville, VA 24540 | 2020-11-03 |
| 1710587555 | Isaiah House Inc | Internal Medicine | 975 Hustonville Rd Ste 9, Danville, KY 40422-2165 | 2020-10-30 |
| 1245830017 | James Duncan Md Consulting Service | Internal Medicine | 109 Venetian Way, Danville, KY 40422-9028 | 2020-10-29 |
| 1972103018 | Jessica Alaine Whittle | Counselor | 1488 Claiborne St, Danville, VA 24540-3150 | 2020-10-28 |
| 1730788217 | Tara Christine Stafford | Social Worker | 30 Carlyle Ct, Danville, CA 94506-6147 | 2020-10-26 |
| 1013516582 | Global Hawk LLC | Home Health | 285 Mocks Creek Dr, Danville, KY 40422-9255 | 2020-10-25 |
| 1659970473 | Jadrian Faith Linville | Technician | 168 Thurmond St, Danville, WV 25053 | 2020-10-22 |
| 1225637382 | Manveen Kaur Sandhu | Dentist | 387 Elworthy Ranch Cir, Danville, CA 94526-4855 | 2020-10-20 |
| Find all providers in DANVILLE | ||||
| 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 |
|---|---|---|---|---|
| 1083120653 | Liberty Healthcare Mgt, LLC | Skilled Nursing Facility | 1301 Bloom Rd, Danville, PA 17821-6532 | 2017-12-19 |
| 1679088231 | Grandview Operations LLC | Skilled Nursing Facility | 78 Woodbine Ln, Danville, PA 17821-8020 | 2017-12-05 |
| 1346642139 | Pharmerica | Skilled Nursing Facility | 1949 Casablanca St, Danville, CA 94506-4807 | 2014-09-23 |
| 1750516894 | Danville Healthcare Group, Inc. | Skilled Nursing Facility | 508 Rison St, Danville, VA 24541-2457 | 2009-05-19 |
| 1194882647 | North Logan Health Care Center Investors LLC | Skilled Nursing Facility | 801 N Logan Ave, Danville, IL 61832-3715 | 2007-01-03 |
| 1972675866 | Indiana Health & Rehabilitation Centers | Skilled Nursing Facility | 255 Meadow Dr, Danville, IN 46122-1415 | 2006-11-15 |
| 1588745384 | Roman Eagle Rehabilitation and Health Care Center, Inc. | Skilled Nursing Facility | 2526 N Main St, Danville, VA 24540-2333 | 2006-10-18 |
| 1922197383 | County of Vermilion | Skilled Nursing Facility | 14792 Catlin Tilton Rd, Danville, IL 61834-5116 | 2006-10-12 |
| 1578678041 | Dearth Homes, Inc | Skilled Nursing Facility | 25326 Snively Rd, Danville, OH 43014-9761 | 2006-08-21 |
| 1710990536 | Medical Facilities of America Xxii | Skilled Nursing Facility | 2344 Riverside Dr, Danville, VA 24540-4212 | 2006-08-14 |
| Find all providers in DANVILLE | ||||
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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.