ERICKSON INSURANCE (NPI# 1447688114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447688114 |
| Entity Type | Organization |
| Organization Name | ERICKSON INSURANCE |
| Practice Address |
2206 Broadway St 235 Granger IA 50109-7716 |
| Mailing Address |
2206 Broadway St P O Box 235 Granger IA 50109-7716 |
| Practice Telephone | 5159992290 |
| Practice Fax Number | 5159992628 |
| Mailing Telephone | 5159992290 |
| Mailing Fax Number | 5159992628 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |
| Authorized Official Name | GREGG S ERICKSON (AGENT) |
| Authorized Official Telephone | 5159992290 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251X00000X | Supports Brokerage | 225440 | IA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | IOWA INSURANCE LICENSE | 225440 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ERICKSON INSURANCE & FINANCIAL SERVICES, INC. | 25 Sutton Ave., Suite 8, Oxford, MA 01540 |
| Massachusetts Corporations | ERICKSON INSURANCE AND FINANCIAL SERVICES LLC | 25 Sutton Ave, Suite 8, Oxford, MA 01540 |
| Street Address |
2206 BROADWAY ST 235 |
| City | GRANGER |
| State | IA |
| Zip Code | 50109-7716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427080662 | City of Granger | Ambulance | 1906 Main Street, Granger, IA 50109 | 2006-07-07 |
| 1861776114 | Janning Family Chiropractic, LLC | Chiropractor | 2208 Broadway St, Granger, IA 50109-4400 | 2011-10-05 |
| 1770864050 | Christopher Joseph Janning | Chiropractor | 2208 Broadway Street, Granger, IA 50109-4400 | 2011-08-31 |
| 1659651115 | Gina Marie Diaz | Counselor | 10850 Nw 105th Ct, Granger, IA 50109-9630 | 2011-08-27 |
| 1568421550 | Centers for Long Term Care of Iowa, Inc | Skilled Nursing Facility | 2001 Kennedy St, Granger, IA 50109-9746 | 2006-03-20 |
| 1851922389 | Opco Granger, Ia, LLC | Skilled Nursing Facility | 2001 Kennedy St, Granger, IA 50109-9746 | 2020-02-03 |
| 1912081241 | Pinnacle Health Facilities Xvii Lp | Skilled Nursing Facility | 2001 Kennedy St, Granger, IA 50109-9746 | 2006-10-24 |
| 1326586249 | Abby Blacker | Nurse Practitioner | 10633 Nw 106th Ave, Granger, IA 50109-9775 | 2017-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184418 | Ashley Elizabeth Bontrager | Registered Nurse | 15040 Hunting Ridge Ct, Granger, IN 46530-9690 | 2020-11-07 |
| 1730788365 | Katherine Mavis Greene | Speech-Language Pathologist | 14234 Shoreline Dr, Granger, IN 46530-4849 | 2020-10-24 |
| 1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
| 1538776604 | Tonya Darlene Ross | Occupational Therapy Assistant | 11312 Anderson Lake Dr, Granger, IN 46530-7293 | 2020-09-23 |
| 1992311328 | Rci (wrs), LLC. | Clinic/Center | 12788 State Road 23, Granger, IN 46530-7893 | 2020-09-21 |
| 1073126504 | Emily Marie Shoupe | Student in an Organized Health Care Education/Training Program | 15342 Monterosa Dr, Granger, IN 46530-9494 | 2020-08-25 |
| 1831701044 | Tree of Life LLC | Clinic/Center | 311 Florence Ave, Granger, IN 46530-8049 | 2020-08-19 |
| 1780295956 | Danielle Brown | Physician Assistant | 10380 Adams Rd, Granger, IN 46530-8608 | 2020-08-12 |
| 1992320519 | Carrie Ann Dunnem | Pharmacy | 7355 Heritage Square Dr, Granger, IN 46530-5643 | 2020-06-09 |
| 1588286132 | Amanda Lynn Ponce De Leon | Physical Therapist | 12171 Covered Wagon Ct, Granger, IN 46530-7100 | 2020-05-16 |
| Find all providers in GRANGER | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376039651 | Tiffany Lynn Finch | Supports Brokerage | 1212 Des Moines St, Keokuk, IA 52632-4326 | 2018-07-10 |
| 1013443985 | David Jones Agency | Supports Brokerage | 704 Walnut St Ste 2, Atlantic, IA 50022-1745 | 2017-05-11 |
| 1245364082 | Polk County | Supports Brokerage | 2309 Euclid Ave, Des Moines, IA 50310-5703 | 2007-03-15 |
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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.