DEERFIELD RETIREMENT COMMUNITY INC (NPI# 1336186188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336186188 |
| Entity Type | Organization |
| Organization Name | DEERFIELD RETIREMENT COMMUNITY INC |
| Practice Address |
13731 Hickman Rd Urbandale IA 50323-2193 |
| Practice Telephone | 5152670438 |
| Practice Fax Number | 5152670697 |
| Mailing Telephone | 5152670438 |
| Mailing Fax Number | 5152670697 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2010-05-04 |
| Authorized Official Name | SCOTT HARRISON (PRESIDENT/CEO) |
| Authorized Official Telephone | 5152885805 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEERFIELD RETIREMENT COMMUNITY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | S0217 | IA | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 165557 | IA | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417235649 | Deerfield Retirement Community Inc | Skilled Nursing Facility | 13731 Hickman Rd, Urbandale, IA 50323-2193 | 2011-07-21 |
| Street Address |
13731 HICKMAN RD |
| City | URBANDALE |
| State | IA |
| Zip Code | 50323-2193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457832271 | Ellyn Rachael Kammeyer | Speech-Language Pathologist | 13731 Hickman Rd, Urbandale, IA 50323-2193 | 2018-08-29 |
| 1194182121 | Erin Johnson | Occupational Therapist | 13731 Hickman Rd, Urbandale, IA 50323-2193 | 2016-01-21 |
| 1508298613 | Kelsey Scavo | Physical Therapist | 13731 Hickman Rd, Urbandale, IA 50323-2193 | 2013-07-31 |
| 1417235649 | Deerfield Retirement Community Inc | Skilled Nursing Facility | 13731 Hickman Rd, Urbandale, IA 50323-2193 | 2011-07-21 |
| 1962723395 | Deerfield Retirement Community | Skilled Nursing Facility | 13731 Hickman Rd, Urbandale, IA 50323-2193 | 2010-06-21 |
| 1003080128 | Andrew Vanblair | Occupational Therapist | 13731 Hickman Rd, Urbandale, IA 50323-2193 | 2008-04-18 |
| 1194918326 | Life Care Home Health Services Corporation | Home Health | 13731 Hickman Rd, Urbandale, IA 50323-2193 | 2007-08-21 |
| 1841495199 | Nanette Rinner | Occupational Therapy Assistant | 13731 Hickman Rd, Urbandale, IA 50323-2193 | 2007-06-18 |
| 1912102377 | Denise Rae Matthews | Physical Therapist | 13731 Hickman Rd, Urbandale, IA 50323-2193 | 2007-06-18 |
| 1962607341 | Jennifer Lynn Fennessey | Physical Therapist | 13731 Hickman Rd, Urbandale, IA 50323-2193 | 2007-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750736138 | Iowa Family Solutions | Counselor | 14202 Goodman Dr., Urbandale, IA 50323 | 2016-05-04 |
| 1215158290 | Amanda Denine Bruett | Counselor | 3606 131, Urbandale, IA 50323 | 2007-05-01 |
| 1467943332 | Renee Michelle Herbers | Specialist/Technologist | 3719 132nd Cir, Urbandale, IA 50323-1707 | 2018-05-25 |
| 1265813521 | Lawson Family Dentistry, LLC | Dentist | 4444 128th St, Urbandale, IA 50323-1728 | 2015-06-12 |
| 1437420981 | Brooks Cristopher Newton | Chiropractor | 4456 128th St, Urbandale, IA 50323-1728 | 2012-01-14 |
| 1578070074 | Michael Shawn Henrichs Jr. | Chiropractor | 4456 128th St, Urbandale, IA 50323-1728 | 2018-01-05 |
| 1700395365 | Dentistry for Children of Iowa Pllc | Dentist | 2401 128th St, Urbandale, IA 50323-1816 | 2017-09-27 |
| 1942311527 | Christopher James Mcdonald | Dentist | 2400 128th St, Urbandale, IA 50323-1816 | 2006-08-31 |
| 1730188160 | Greater Des Moines Dermatology PC | Dermatology | 2424 128th St, Nw 128th Street, Urbandale, IA 50323-1816 | 2005-07-18 |
| 1861022568 | Jacob Anthony Lorsung | Dermatology | 2424 128th St, Urbandale, IA 50323-1816 | 2020-01-22 |
| Find all providers in zip 50323 | ||||
| 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 |
|---|---|---|---|---|
| 1881946580 | Trurehab | Skilled Nursing Facility | 14433 Bryn Mawr Dr, Urbandale, IA 50323-2029 | 2012-10-05 |
| 1295819225 | Crystal Inc | Skilled Nursing Facility | 3605 Elm Dr, Urbandale, IA 50322-3019 | 2006-10-25 |
| 1275530883 | U.S.A. Healthcare Center-urbandale, L.L.C. | Skilled Nursing Facility | 4614 84th St, Urbandale, IA 50322-1089 | 2005-06-29 |
| 1417235649 | Deerfield Retirement Community Inc | Skilled Nursing Facility | 13731 Hickman Rd, Urbandale, IA 50323-2193 | 2011-07-21 |
| 1962723395 | Deerfield Retirement Community | Skilled Nursing Facility | 13731 Hickman Rd, Urbandale, IA 50323-2193 | 2010-06-21 |
| 1902057185 | Urbandale Health Care Center LLC | Skilled Nursing Facility | 4614 84th St, Urbandale, IA 50322-1089 | 2008-10-06 |
| 1922175611 | Hy-vee Care | Skilled Nursing Facility | 3998 Nw Urbandale Dr, Urbandale, IA 50322-7922 | 2006-11-29 |
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|---|---|---|---|---|
| 1326647165 | Ema Rehabilitation, LLC | Skilled Nursing Facility | 1831 E Kanesville Blvd, Council Bluffs, IA 51503-4767 | 2020-10-22 |
| 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 |
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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.