EDGEWOOD CONVALESCENT HOME INC (NPI# 1215155544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215155544 |
| Entity Type | Organization |
| Organization Name | EDGEWOOD CONVALESCENT HOME INC |
| Other Organization Name | EDGEWOOD CONVALESCENT HOME |
| Practice Address |
513 Bell St Edgewood IA 52042-0039 |
| Mailing Address |
Po Box 39 Edgewood IA 52042-0039 |
| Practice Telephone | 5639286461 |
| Practice Fax Number | 5639286462 |
| Mailing Telephone | 5639286461 |
| Mailing Fax Number | 5639286462 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DONALD L C HENSVOLD (MANAGER) |
| Authorized Official Telephone | 3193628916 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 280322 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0195560 | 05 |
| Other Name | Type Code |
|---|---|
| Edgewood Convalescent Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306064639 | Edgewood Convalescent Home Inc | Assisted Living Facility | 302 W Lincoln, Edgewood, IA 52042-0039 | 2007-04-23 |
| Street Address |
513 BELL ST |
| City | EDGEWOOD |
| State | IA |
| Zip Code | 52042-0039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497715494 | Edgewood Convalescent Home | Skilled Nursing Facility | 513 Bell St, Edgewood, IA 52042-0039 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083849939 | Amy Lynn Gassmann | Physical Therapist | 104 W. Union St., Edgewood, IA 52042 | 2009-05-21 |
| 1972671493 | Family Medicine Associates PC | Family Medicine | 101 South Washington, Edgewood, IA 52042 | 2006-12-01 |
| 1831441096 | Guttenberg Municipal Hospital | Clinic/Center | 101 S Washington St, Edgewood, IA 52042 | 2012-10-11 |
| 1306064639 | Edgewood Convalescent Home Inc | Assisted Living Facility | 302 W Lincoln, Edgewood, IA 52042-0039 | 2007-04-23 |
| 1497805691 | Edgewood-colesburg Community School District | Local Education Agency (LEA) | 403 West Union, Edgewood, IA 52042-0316 | 2007-01-11 |
| 1417955089 | Scot R Christiansen | Family Medicine | 702 W Union St, Edgewood, IA 52042-8187 | 2005-07-08 |
| 1831759943 | Desiree Marie Steger | Nurse Practitioner | 702 W Union St, Edgewood, IA 52042-8187 | 2019-06-20 |
| 1871662163 | Delaware County Memorial Hospital | Clinic/Center | 702 W Union St, Edgewood, IA 52042-8187 | 2006-11-08 |
| 1518952670 | City of Edgewood | Ambulance | 39245 Littleport Rd, Edgewood, IA 52042-8210 | 2005-09-14 |
| 1912178328 | Kristie Russett | Occupational Therapist | 513 S Bell St, Edgewood, IA 52042-8543 | 2008-03-13 |
| Find all providers in zip 52042 | ||||
| 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 |
|---|---|---|---|---|
| 1497715494 | Edgewood Convalescent Home | Skilled Nursing Facility | 513 Bell St, Edgewood, IA 52042-0039 | 2006-03-24 |
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|---|---|---|---|---|
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| 1114547395 | Bvm-phs Senior Housing Inc | Skilled Nursing Facility | 1160 Carmel Dr, Dubuque, IA 52003-7911 | 2020-04-17 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1023679057 | Bcp Union Park, LLC | Skilled Nursing Facility | 2401 E 8th St, Des Moines, IA 50316-1717 | 2019-06-20 |
| 1639637143 | Wellspire LLC | Skilled Nursing Facility | 5508 Nw 88th St, Johnston, IA 50131-3005 | 2019-03-05 |
| 1356807101 | Accura Healthcare of Aurelia LLC | Skilled Nursing Facility | 401 W 5th St, Aurelia, IA 51005-7712 | 2019-02-18 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1255828919 | Brio of Johnston, LLC | Skilled Nursing Facility | 6901 Peckham St, Johnston, IA 50131-3143 | 2018-04-18 |
| Find all providers with the same taxonomy | ||||
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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.