FELLOWSHIP VILLAGE, INC. (NPI# 1356317820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356317820 |
| Entity Type | Organization |
| Organization Name | FELLOWSHIP VILLAGE, INC. |
| Practice Address |
300 E Jefferson St Inwood IA 51240-7766 |
| Practice Telephone | 7127534663 |
| Practice Fax Number | 7127534666 |
| Mailing Telephone | 7127534663 |
| Mailing Fax Number | 7127534666 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2011-12-13 |
| Authorized Official Name | TRINA ANN KUPER (ADMINISTRATOR) |
| Authorized Official Telephone | 7127534663 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | N-0572 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0807891 | 05 |
| Street Address |
300 E JEFFERSON ST |
| City | INWOOD |
| State | IA |
| Zip Code | 51240-7766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427198860 | Jolene Kay Bruns | Dentist | 213 S Main St, Inwood, IA 51240 | 2007-02-07 |
| 1699984757 | West Lyon Community School District | Local Education Agency (LEA) | 1787 Ia 182 Street, Inwood, IA 51240-0001 | 2007-05-22 |
| 1871137307 | Jori Lee Gulker | Massage Therapist | 1504 Us 18 St, Inwood, IA 51240-7544 | 2019-10-28 |
| 1962544296 | West Lyon Community School District | Local Education Agency (LEA) | 1787 Iowa 182 Ave, Inwood, IA 51240-7702 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566934 | Raven Casiano | Technician | 283 Pebble Ln, Inwood, WV 25428-3088 | 2020-10-19 |
| 1528674835 | Emily Ann Mcclain | Technician | 100 Hoover Dr, Inwood, WV 25428-3771 | 2020-09-22 |
| 1205449659 | Jhon Alzamora | Technician | 40 Montague Way, Inwood, WV 25428-1254 | 2020-08-26 |
| 1992316814 | Mary Martha Osborne | Technician | 222 Truman Rd, Inwood, WV 25428-3497 | 2020-08-13 |
| 1992316996 | Cassandra Dionne Saint-furcy | Nurse Practitioner | 6 Provenzano St, Inwood, NY 11096-1410 | 2020-08-12 |
| 1730790106 | Heidi Velasquez | Registered Nurse | 29 Stanley St, Inwood, NY 11096-1513 | 2020-08-11 |
| 1871104356 | Dawn Michell Novak | Technician | 34 Cabell Ct, Inwood, WV 25428-4010 | 2020-08-10 |
| 1417567629 | Debra Lynne Barry | Technician | 283 Idyllwood Dr, Inwood, WV 25428-3078 | 2020-08-03 |
| 1679194260 | Mary Biondo | Case Manager/Care Coordinator | 26 Healy Ave, Inwood, NY 11096-1007 | 2020-05-05 |
| 1245851930 | Oz M Hasis | Registered Nurse | 177 Wanser Ave, Inwood, NY 11096-2114 | 2020-05-04 |
| Find all providers in INWOOD | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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.