GRAND HAVEN LLC


Address: 201 East Franklin St, Eldridge, IA 52748
Phone: 5632854900

GRAND HAVEN LLC (NPI# 1174716542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174716542
Entity Type Organization
Organization Name GRAND HAVEN LLC
Practice Address 201 East Franklin St
Eldridge
IA 52748
Mailing Address 201 E. Franklin St
Eldridge
IA 52748
Practice Telephone 5632854900
Practice Fax Number 5632854911
Mailing Telephone 5632854900
Mailing Fax Number 5632854911
Enumeration Date 2007-08-20
Last Update Date 2007-08-20
Authorized Official Name MS. JONI FAHRENKROG (MANAGER)
Authorized Official Telephone 5632854900
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility S0260 IA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IA ASSISTED LIVING S0260 01

Office Location

Street Address 201 EAST FRANKLIN ST
City ELDRIDGE
State IA
Zip Code 52748

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982089025 Gerard Chiropractic Chiropractor 112 West Davenport St Unit 1, Eldridge, IA 52748 2015-07-29
1154567956 Connie J. Shaw Dentist 5a Lincoln Ave, Eldridge, IA 52748 2008-12-29
1447434121 Clinton Back and Neck Care Center, PC Chiropractor 616 Parkview Place, Eldridge, IA 52748 2007-12-18
1770624124 Heather Ann Nelson Jordahl Chiropractor 224 North 2nd St, Eldridge, IA 52748 2007-02-09
1861434391 North Scott Pharmacy Inc Pharmacy 225 E Leclaire Rd, Eldridge, IA 52748 2006-06-11
1871571224 Richard R Ripperger Orthopaedic Surgery 27005 Glynns Creek Ct, Eldridge, IA 52748 2006-01-05
1154818847 Chizek Family Eyecare Inc Optometrist 251 N 6th Ave, Eldridge, IA 52748 2018-04-18
1821510314 So Young Park Dentist 100 S 4th St, Unit 2, Eldridge, IA 52748 2017-07-17
1427099605 Julie A Schrad-swank Chiropractor 1120 W Davies St, Eldridge, IA 52748-1064 2006-06-09
1467573246 Jennifer Ann Mccabe Speech-Language Pathologist 1121 W Maple St, Eldridge, IA 52748-1091 2007-04-02
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

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1316557218 Rock Valley Assisted Living LLC Assisted Living Facility 712 Westview Dr, Rock Valley, IA 51247-7619 2020-08-05
1962011262 Heartland Health Management, Inc. Assisted Living Facility 126 W Stonebrook Dr, Mount Pleasant, IA 52641-2686 2020-07-23
1972125003 Arhc Phcrpia01 Trs, LLC Assisted Living Facility 2903 F Ave Nw, Cedar Rapids, IA 52405-2909 2020-05-12
1740812072 Spirit Lake Senior Operator, LLC Assisted Living Facility 2810 Aurora Ave, Spirit Lake, IA 51360-7055 2020-02-05
1679112841 Arhc Psindia01 Trs Assisted Living Facility 505 Enterprise Dr, Independence, IA 50644-9603 2020-01-05
1356996177 Abilit Holdings (hawthorne Crossing) LLC Assisted Living Facility 601 Hawthorne Crossing Dr Se, Bondurant, IA 50035-1376 2019-08-08
1881253151 Hammond Center, LLC Assisted Living Facility 907 Orchard Dr, Grinnell, IA 50112-2075 2019-06-11
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Competitor

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City ELDRIDGE
Zip Code 52748

Improve Information

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Dataset Information

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.

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