PREMIER ESTATES 507, LLC (NPI# 1265898969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265898969 |
| Entity Type | Organization |
| Organization Name | PREMIER ESTATES 507, LLC |
| Other Organization Name | LENOX CARE CENTER |
| Practice Address |
111 E Van Buren St Lenox IA 50851-1142 |
| Mailing Address |
5115 E State Road 64 Bradenton FL 34208-5509 |
| Practice Telephone | 6413332226 |
| Practice Fax Number | 6413334174 |
| Mailing Telephone | 9417584745 |
| Mailing Fax Number | 9417512135 |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-05-13 |
| Authorized Official Name | JAMIE CULP (CONTROLLER) |
| Authorized Official Telephone | 9417584745 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 870126 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0800173 | 05 |
| Other Name | Type Code |
|---|---|
| Lenox Care Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PREMIER ESTATES 507, LLC | 5115 East State Road 64, Bradenton, FL 34208 |
| Street Address |
111 E VAN BUREN ST |
| City | LENOX |
| State | IA |
| Zip Code | 50851-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184615908 | Lenox Care Center, Inc. | Skilled Nursing Facility | 111 E Van Buren St, Lenox, IA 50851-1142 | 2005-11-01 |
| 1437356144 | Debra Ann Springer | Occupational Therapist | 111 E Van Buren St, Lenox, IA 50851-1142 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528261286 | Pursuit of Independence | Custodial Care Facility | 104 West Ohio, Lenox, IA 50851 | 2007-06-08 |
| 1689809667 | Gary W. Mcneely | Dentist | 108 1/2 N. Main St., Lenox, IA 50851-0126 | 2009-05-20 |
| 1134220494 | Steven L Sawyer | Dentist | 201 N Main St, Lenox, IA 50851-1155 | 2006-09-26 |
| 1164071965 | Steve Mowery | Pharmacist | 107 N Main St, Lenox, IA 50851-1237 | 2019-09-05 |
| 1164844155 | Alicia Lynn | Pharmacist | 107 N Main St, Lenox, IA 50851-1237 | 2014-01-10 |
| 1255364469 | Nudak Ventures, LLC | Pharmacy | 107 N Main St, Lenox, IA 50851-1237 | 2006-07-09 |
| 1033490891 | Katie R Lenhart | Physician Assistant | 100 S Main St, Lenox, IA 50851-1240 | 2011-09-07 |
| 1457401457 | Darcy Rubenking | Physician Assistant | 100 S Main St, Lenox, IA 50851-1240 | 2007-01-11 |
| 1346353323 | Greater Regional Medical Center | Nurse Practitioner | 100 S Main St, Lenox, IA 50851-1240 | 2006-08-16 |
| 1235124470 | Linda J Robinson | Family Medicine | 210 S Main St, Lenox, IA 50851-1242 | 2005-09-14 |
| Find all providers in zip 50851 | ||||
| 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 |
|---|---|---|---|---|
| 1659447019 | Berkshire Extended Care Services Inc | Skilled Nursing Facility | 40 Sunset Ave, Lenox, MA 01240-2018 | 2006-11-28 |
| 1811988645 | Sisters of Providence Care Centers Inc. | Skilled Nursing Facility | 320 Pittsfield Rd, Lenox, MA 01240-2377 | 2005-11-01 |
| 1184615908 | Lenox Care Center, Inc. | Skilled Nursing Facility | 111 E Van Buren St, Lenox, IA 50851-1142 | 2005-11-01 |
| 1487089066 | Mount Carmel Care Center, Inc. | Skilled Nursing Facility | 320 Pittsfield Rd, Lenox, MA 01240 | 2013-09-13 |
| 1962612739 | Genesis Healthcare | Skilled Nursing Facility | 40 Sunset Ave, Lenox, MA 01240-2018 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 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.