MRS. SHANNON C MARSO (NPI# 1417236589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417236589 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON C MARSO |
| Credential | PTA |
| Practice Address |
508 2nd St Ne Dayton IA 50530-7530 |
| Mailing Address |
2455 Pecan Ave. Guthrie Center IA 50115 |
| Practice Telephone | 5155472288 |
| Practice Fax Number | 5155472287 |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2016-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 001456 | IA | Nursing & Custodial Care Facilities |
| Street Address |
508 2ND ST NE |
| City | DAYTON |
| State | IA |
| Zip Code | 50530-7530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932190758 | Grandview Health Care Center, Inc. | Skilled Nursing Facility | 508 2nd St Ne, Dayton, IA 50530-7530 | 2005-11-01 |
| 1972969681 | Premier Estates 502, LLC | Skilled Nursing Facility | 508 2nd St Ne, Dayton, IA 50530-7530 | 2016-01-11 |
| 1013113968 | Daniel Dee Cody | Physical Therapy Assistant | 508 2nd St Ne, Dayton, IA 50530-7530 | 2007-06-26 |
| 1255537361 | Andy Goings | Occupational Therapy Assistant | 508 2nd St Ne, Dayton, IA 50530-7530 | 2007-06-25 |
| 1700082310 | Christie Cody | Physical Therapist | 508 2nd St Ne, Dayton, IA 50530-7530 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689087215 | Community Health Center of Fort Dodge, Inc. | Clinic/Center | 24 S Main St, Dayton, IA 50530 | 2014-06-11 |
| 1891862306 | Dayton Rescue Squad | Emergency Medical Technician, Basic | 27 1st Ave Sw, Dayton, IA 50530-7661 | 2006-11-29 |
| 1629413141 | Hamilton County Public Hospital | Clinic/Center | 24 S Main St, Dayton, IA 50530-7698 | 2013-05-10 |
| 1730524430 | Hamilton County Public Hospital | Clinic/Center | 24 S Main St, Dayton, IA 50530-7698 | 2013-05-08 |
| 1164617619 | Stewart Memorial Community Hospital | Nurse Practitioner | 24 S Main St, Dayton, IA 50530-7698 | 2007-09-07 |
| 1083798433 | Frederick C and Ann Marcalus | Pharmacist | 21 S Main St, Dayton, IA 50530-7698 | 2006-10-24 |
| 1225062482 | Stewart Memorial Community Hospital | Clinic/Center | 24 S Main St, Dayton, IA 50530-7698 | 2006-07-11 |
| 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 |
|---|---|---|---|---|
| 1780941484 | Charles E. Garrett Jr | Skilled Nursing Facility | 2351 Wienburg Dr, Dayton, OH 45439-7944 | 2012-04-18 |
| 1083930762 | Stonespring Transitional Care Center, LLC | Skilled Nursing Facility | 4000 Singing Hills Blvd, Dayton, OH 45414 | 2010-04-20 |
| 1952542532 | Dayton Medical Investors, LLC | Skilled Nursing Facility | 10055 Rhea County Hwy, Dayton, TN 37321-7937 | 2009-03-12 |
| 1861566564 | Extendicare Homes, Inc. | Skilled Nursing Facility | 3650 Klepinger Rd, Dayton, OH 45416-1919 | 2006-11-17 |
| 1992877062 | Dayton Care, LLC | Skilled Nursing Facility | 320 Albany St, Dayton, OH 45408-1402 | 2006-11-14 |
| 1033201611 | Graceworks Lutheran Services | Skilled Nursing Facility | 6451 Far Hills Ave, Dayton, OH 45459-2725 | 2006-09-29 |
| 1366558157 | Harborside of Dayton Limited Partnership | Skilled Nursing Facility | 323 Forest Ave, Dayton, OH 45405-4599 | 2006-08-22 |
| 1114932852 | Mary Scott Nursing Home, Inc. | Skilled Nursing Facility | 3109 Campus Drive, Dayton, OH 45406 | 2006-07-30 |
| 1154335305 | Hcf of Crestview, Inc. | Skilled Nursing Facility | 4381 Tonawanda Trl, Dayton, OH 45430-1961 | 2006-07-27 |
| 1083656383 | Grafton Associates Limited Partnership Ptr | Skilled Nursing Facility | 405 Grafton Avenue, Dayton, OH 45406-5202 | 2006-06-12 |
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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.