KISMET SUX LLC (NPI# 1457359200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457359200 |
| Entity Type | Organization |
| Organization Name | KISMET SUX LLC |
| Other Organization Name | EMBASSY REHAB AND CARE CENTER |
| Practice Address |
206 Port Neal Rd Sergeant Bluff IA 51054-8098 |
| Mailing Address |
600 S Franklin St Elk Point SD 57025-2144 |
| Practice Telephone | 7129433837 |
| Mailing Telephone | 6053562622 |
| Mailing Fax Number | 6053562704 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | MICHAEL L. MOORE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6056427736 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 970471 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1457359200 | 05 |
| Other Name | Type Code |
|---|---|
| Embassy Healthcare Community | Doing Business As Name - Organization |
| Embassy Rehab and Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437131216 | Kismet Sux LLC | Home Health | 112 Gaul Dr, Sergeant Bluff, IA 51054-8963 | 2005-11-16 |
| Street Address |
206 PORT NEAL RD |
| City | SERGEANT BLUFF |
| State | IA |
| Zip Code | 51054-8098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861820060 | Jeremy Mozak | Physical Therapy Assistant | 206 Port Neal Rd, Sergeant Bluff, IA 51054-8098 | 2013-10-24 |
| 1427483817 | Audrey Mangulabnan | Occupational Therapy Assistant | 206 Port Neal Rd, Sergeant Bluff, IA 51054-8098 | 2013-09-05 |
| 1740520618 | John Addison Hildman | Physical Therapy Assistant | 206 Port Neal Rd, Sergeant Bluff, IA 51054-8098 | 2013-02-28 |
| 1720326259 | Eric Andrew Campbell | Physical Therapy Assistant | 206 Port Neal Rd, Sergeant Bluff, IA 51054-8098 | 2013-01-17 |
| 1922343227 | Lisa Marie Dirksen | Occupational Therapist | 206 Port Neal Rd, Sergeant Bluff, IA 51054-8098 | 2012-11-28 |
| 1215202114 | Tana J Wagner | Speech-Language Pathologist | 206 Port Neal Rd, Sergeant Bluff, IA 51054-8098 | 2012-03-12 |
| 1912280777 | Sheri Mccluskey | Physical Therapy Assistant | 206 Port Neal Rd, Sergeant Bluff, IA 51054-8098 | 2011-09-27 |
| 1588987507 | Linda Kay Nelson | Physical Therapy Assistant | 206 Port Neal Rd, Sergeant Bluff, IA 51054-8098 | 2010-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841666054 | Jp Senior Healthcare LLC | Skilled Nursing Facility | 400 Sergeant Square Drive, Sergeant Bluff, IA 51054 | 2015-08-12 |
| 1184014649 | Community Monitoirng Services, Inc | Community/Behavioral Health | 204 1st Street Ste A5, Sergeant Bluff, IA 51054 | 2015-02-04 |
| 1073700399 | Assisted Living Concepts Inc | Assisted Living Facility | 403 C Street, Sergeant Bluff, IA 51054 | 2007-10-01 |
| 1962601625 | Michelle Larae Van Den Top | Optometrist | 110 Gaul Dr, Ste B, Sergeant Bluff, IA 51054 | 2007-07-13 |
| 1871569459 | Richard K Bokemper Dds PC | Dentist | 703 First St, Sergeant Bluff, IA 51054 | 2006-02-24 |
| 1619494333 | Sergeant Bluff Dental, PC | Dentist | 703 1st St, Po Box 280, Sergeant Bluff, IA 51054 | 2017-08-23 |
| 1164465779 | Renee L. Husen | Dentist | 703 First St., Sergeant Bluff, IA 51054 | 2006-06-13 |
| 1033140272 | City of Sergeant Bluff | Ambulance | 204 Port Neal Road, Sergeant Bluff, IA 51054-0000 | 2006-07-05 |
| 1346234846 | Lyle D Nissen | Chiropractor | 310 1st Street, Sergeant Bluff, IA 51054-0006 | 2005-09-12 |
| 1124201587 | Nissen Family Chiropractic PC | Chiropractor | 310 1st St, Sergeant Bluff, IA 51054-0006 | 2007-12-07 |
| Find all providers in zip 51054 | ||||
| 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 |
|---|---|---|---|---|
| 1841666054 | Jp Senior Healthcare LLC | Skilled Nursing Facility | 400 Sergeant Square Drive, Sergeant Bluff, IA 51054 | 2015-08-12 |
| 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 | ||||
| City | SERGEANT BLUFF |
| Zip Code | 51054 |
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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.