HOMESTEAD OF KNOXVILLE OPERATIONS LLC


Address: 908 South Park Lane Drive, Knoxville, IA 50138
Phone: 6418287878

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility S0132 IA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IA 0249361 05

Other Provider/Organization Names

Other Name Type Code
Park Lane Village Doing Business As Name - Organization

Office Location

Street Address 908 SOUTH PARK LANE DRIVE
City KNOXVILLE
State IA
Zip Code 50138

Providers in the same zip code

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 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]

Providers in the same taxonomy and city

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

Competitor

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City KNOXVILLE
Zip Code 50138

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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