HOMESTEAD OF KNOXVILLE OPERATIONS LLC (NPI# 1316161839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316161839 |
Entity Type | Organization |
Organization Name | HOMESTEAD OF KNOXVILLE OPERATIONS LLC |
Other Organization Name | PARK LANE VILLAGE |
Practice Address |
908 South Park Lane Drive Knoxville IA 50138 |
Mailing Address |
3715 Sw 29th Street Topeka KS 66614 |
Practice Telephone | 6418287878 |
Practice Fax Number | 6418282184 |
Mailing Telephone | 7852721535 |
Mailing Fax Number | 7852721480 |
Enumeration Date | 2007-04-13 |
Last Update Date | 2011-11-10 |
Authorized Official Name | MR. MIKE TRYON (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 7852287913 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | S0132 | IA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0249361 | 05 |
Other Name | Type Code |
---|---|
Park Lane Village | Doing Business As Name - Organization |
Street Address |
908 SOUTH PARK LANE DRIVE |
City | KNOXVILLE |
State | IA |
Zip Code | 50138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639726607 | Janice Rankin | Technician | 1130 180th Ave, Knoxville, IA 50138 | 2019-08-23 |
1255547832 | Margaret Elaine Ragner | Counselor | 104 South 6th, Knoxville, IA 50138 | 2007-05-14 |
1811066806 | Travis J Egesdal | Dentist | 112 S 1st St, Knoxville, IA 50138 | 2006-11-06 |
1760583520 | Kathryn E De Zwarte | Social Worker | 1515 W Pleasant, Knoxville, IA 50138 | 2006-09-26 |
1821199365 | Scotty Thomas Hagan | Social Worker | 1515 West Pleasant, Knoxville, IA 50138 | 2006-09-26 |
1629175427 | Alicja Marta Pauler | General Practice | 1515 Pleasant St, Knoxville, IA 50138 | 2006-09-20 |
1235199571 | Jane M. Gandy | Physician Assistant | 1607 N Lincoln St, Knoxville, IA 50138 | 2006-03-23 |
1437642071 | Rocky Mountain Holdings, LLC | Ambulance | 1545 Highway 14, Knoxville, IA 50138 | 2018-06-08 |
1427428143 | Jennifer Lorayne Coxe | Nurse Practitioner | 1202 W Howard St, Knoxville, IA 50138 | 2015-10-07 |
1821478439 | Jennifer Elkin | Family Medicine | 1208 N Lincoln St, Knoxville, IA 50138 | 2015-06-09 |
Find all providers in zip 50138 |
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 |
---|---|---|---|---|
1164070454 | Heritage At S Peters Inc | Assisted Living Facility | 273 S Peters Rd, Knoxville, TN 37923-5204 | 2019-08-29 |
1427601327 | Pinnacle Assisted Living | Assisted Living Facility | 10520 Waterville Ln, Knoxville, TN 37932-3754 | 2019-07-19 |
1457884462 | Nu-south, LLC | Assisted Living Facility | 214 Prosperity Rd, Knoxville, TN 37923-4702 | 2017-04-06 |
1881022739 | Al Knoxville Operations, LLC | Assisted Living Facility | 8024 Gleason Dr, Knoxville, TN 37919-5586 | 2013-10-30 |
1083041578 | Ec Knoxville Operations, LLC | Assisted Living Facility | 7521 Andersonville Pike, Knoxville, TN 37938-4204 | 2013-09-30 |
1912205899 | Hillcrest Healthcare Communities, Inc | Assisted Living Facility | 2820 Lake Brook Blvd, Knoxville, TN 37909-1133 | 2011-03-02 |
1811291784 | Atrium At Weston Place, LLC | Assisted Living Facility | 2900 Lake Brook Blvd, Knoxville, TN 37909-1135 | 2011-01-06 |
1851694798 | Autumn Care Management Inc. | Assisted Living Facility | 3222 Byington Beaver Ridge Rd, Knoxville, TN 37931-3317 | 2010-12-15 |
1649219965 | Morningside of Knoxville, LLC | Assisted Living Facility | 3020 Heatherton Way, Knoxville, TN 37920-5586 | 2006-06-05 |
1063060861 | Snh Tenn Tenant LLC | Assisted Living Facility | 3020 Heatherton Way, Knoxville, TN 37920-5588 | 2019-08-27 |
Find all providers in KNOXVILLE |
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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.