PRAIRIE HILLS AT CLINTON OPERATIONS LLC (NPI# 1316152564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316152564 |
| Entity Type | Organization |
| Organization Name | PRAIRIE HILLS AT CLINTON OPERATIONS LLC |
| Practice Address |
1701 13th Ave N Clinton IA 52732-3341 |
| Mailing Address |
500 N 3rd St Suite 206 Fairfield IA 52556-2485 |
| Practice Telephone | 5632436870 |
| Practice Fax Number | 5632420404 |
| Mailing Telephone | 6414720518 |
| Mailing Fax Number | 6414720817 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TIMOTHY R HILDEBRANDT (OWNER) |
| Authorized Official Telephone | 6414720518 |
| Authorized Official Credential | MANAGING MEMBER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0733121 | 05 |
| Street Address |
1701 13TH AVE N |
| City | CLINTON |
| State | IA |
| Zip Code | 52732-3341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942849112 | Arhc Phctnia01 Trs | Assisted Living Facility | 1701 13th Ave N, Clinton, IA 52732-3300 | 2020-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343240 | Janet R Graf | Technician | 450 South 19th St., Clinton, IA 52732 | 2019-08-29 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1821528423 | Tricia Lee Grimes | Technician | 2349 Dunham St, Clinton, IA 52732 | 2017-06-15 |
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1275829921 | Rebecca Plante | Pharmacist | 1309 N 2nd Street, Clinton, IA 52732 | 2011-06-21 |
| 1639318363 | Ryan P Connell | Chiropractor | 1437 Main Ave, Clinton, IA 52732 | 2009-02-19 |
| Find all providers in zip 52732 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360986 | Merle Newkirk | Assisted Living Facility | 7606 Fox Hunt Ct, Clinton, MD 20735-3063 | 2020-09-10 |
| 1659982452 | Clinton Alf Operations LLC | Assisted Living Facility | 91 E Main St, Clinton, CT 06413-2139 | 2020-08-14 |
| 1306465745 | Cedar Senior Living, LLC. | Assisted Living Facility | 670 Cedar Lake Ln, Clinton, NC 28328-8986 | 2020-04-15 |
| 1336779248 | Meadow View Senior Living | Assisted Living Facility | 111 Acuff Ln, Clinton, TN 37716-6892 | 2020-01-20 |
| 1619491149 | Carolina Christian Ministrties | Assisted Living Facility | 300 Jacobs Hwy, Clinton, SC 29325-9400 | 2017-07-26 |
| 1649722158 | Chiama Group, Inc. | Assisted Living Facility | 6709 Briarcliff Dr, Clinton, MD 20735-4002 | 2016-11-01 |
| 1093188344 | Indiana's Center for Foot and Ankle Care, P.C. | Assisted Living Facility | 135 Green Forest Dr, Clinton, MS 39056-2235 | 2015-11-09 |
| 1457790420 | Peaceful Life Assisted Living | Assisted Living Facility | 7029 Groveton Dr, Clinton, MD 20735-4046 | 2013-06-22 |
| 1285821587 | Assisted Living Concepts Inc | Assisted Living Facility | 939 Springdale Drive, Clinton, SC 29325 | 2007-10-01 |
| 1104037563 | Country Pines Phase II Lc | Assisted Living Facility | 1706 W 1800 N, Clinton, UT 84015-8324 | 2007-05-25 |
| Find all providers in CLINTON | ||||
Please comment or provide details below to improve the information on PRAIRIE HILLS AT CLINTON OPERATIONS LLC.
| 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.