COTTAGE GROVE PLACE (NPI# 1366421281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366421281 |
| Entity Type | Organization |
| Organization Name | COTTAGE GROVE PLACE |
| Practice Address |
2115 1st Ave Se Cedar Rapids IA 52402 |
| Mailing Address |
2115 1st Ave Se Cedar Rapids IA 52402-6353 |
| Practice Telephone | 3193632420 |
| Practice Fax Number | 3192975646 |
| Mailing Telephone | 3193632420 |
| Mailing Fax Number | 3192975646 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | WILLIAM C. JACOBSON (BOARD CHAIR) |
| Authorized Official Telephone | 3193632420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 570783 | IA | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | COTTAGE GROVE PLACE | 2115 First Avenue Se, Cedar Rapids, IA 52402 |
| Iowa Business Entities | COTTAGE GROVE PLACE FOUNDATION. | 2115 1st Ave Se, Cedar Rapids, IA 52402 |
| Street Address |
2115 1ST AVE SE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700367430 | Rebecca Nielsen | Speech-Language Pathologist | 2115 1st Ave Se, Cedar Rapids, IA 52402-6353 | 2018-08-21 |
| 1699203935 | Kristin Wilhelm | Physical Therapy Assistant | 2115 1st Ave Se, Cedar Rapids, IA 52402-6353 | 2017-05-31 |
| 1518495829 | Vicki Mcirvin | Physical Therapy Assistant | 2115 1st Ave Se, Cedar Rapids, IA 52402-6353 | 2017-05-31 |
| 1306374129 | Adrianna Steward | Physical Therapy Assistant | 2115 1st Ave Se, Cedar Rapids, IA 52402-6353 | 2017-05-24 |
| 1639606643 | Alicia Jean Wessels | Occupational Therapy Assistant | 2115 1st Ave Se, Cedar Rapids, IA 52402-6353 | 2017-05-22 |
| 1548797020 | Morgan Sauer | Speech-Language Pathologist | 2115 1st Ave Se, Cedar Rapids, IA 52402-6353 | 2017-05-16 |
| 1013444546 | Jennifer Lynn Larsen | Physical Therapy Assistant | 2115 1st Ave Se, Cedar Rapids, IA 52402-6353 | 2017-05-15 |
| 1659808194 | Angela R Heinrich | Occupational Therapy Assistant | 2115 1st Ave Se, Cedar Rapids, IA 52402-6353 | 2017-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
| 1073008314 | Benjamin Randall Groth | Optometrist | 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 | 2018-06-28 |
| 1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1861819732 | Arj Infusion Services, Inc. | Home Infusion | 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 | 2014-03-27 |
| 1639475197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 | 2011-02-01 |
| 1437452919 | Empowering Families Inc | Early Intervention Provider Agency | 5005 Blairsforest Way, Cedar Rapids, IA 52402 | 2010-12-06 |
| 1184937476 | Jennifer Becker | Counselor | 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 | 2010-07-15 |
| 1215179817 | William H Fletcher | Hearing Instrument Specialist | 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 | 2009-03-27 |
| Find all providers in zip 52402 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952528424 | S.t.l. Care Company | Nursing Facility/Intermediate Care Facility | 1220 5th Ave Se, Cedar Rapids, IA 52403-4049 | 2007-04-19 |
| 1023005105 | Marjan Management Services Ltd | Nursing Facility/Intermediate Care Facility | 6420 Council St Ne, Cedar Rapids, IA 52402-1129 | 2005-10-04 |
| 1629243001 | Mercy Medical Center | Nursing Facility/Intermediate Care Facility | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2008-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389346 | Perry Lutheran Home - Rowley Campus LLC | Nursing Facility/Intermediate Care Facility | 1300 28th St, Perry, IA 50220-2329 | 2020-09-01 |
| 1225546948 | Creekside, Inc | Nursing Facility/Intermediate Care Facility | 503 Wical Way, Grundy Center, IA 50638-0000 | 2018-01-16 |
| 1679920946 | Roy Gonzalez | Nursing Facility/Intermediate Care Facility | 40 Ridgeview Rd, Sioux City, IA 51104-4052 | 2016-05-17 |
| 1609241926 | Monica Wincentsen | Nursing Facility/Intermediate Care Facility | 122 Euclid Ave, Norway, IA 52318 | 2015-12-11 |
| 1003246000 | Keystone Nursing Care Center, Inc | Nursing Facility/Intermediate Care Facility | 280 5th St, Suite 2, Keystone, IA 52249-9533 | 2013-11-13 |
| 1346434826 | Shenandoah Enterprises LLC | Nursing Facility/Intermediate Care Facility | 1201 S Walnut St, Shenandoah, IA 51601-2176 | 2007-08-28 |
| 1568686236 | Martin Health Center, Inc. | Nursing Facility/Intermediate Care Facility | 420 E 11th St, Cedar Falls, IA 50613-3364 | 2007-04-12 |
| 1548386675 | Longhouse-northshire, Ltd | Nursing Facility/Intermediate Care Facility | 711 W 11th St, Spencer, IA 51301-3237 | 2007-03-21 |
| 1083738132 | Spurgeon Manor, Inc. | Nursing Facility/Intermediate Care Facility | 1204 Linden St, Dallas Center, IA 50063-1052 | 2007-03-16 |
| 1861522336 | Mercy Medical Center-clinton, Inc. | Nursing Facility/Intermediate Care Facility | 600 14th Ave N, Clinton, IA 52732-2914 | 2007-03-06 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
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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.