CLARENCE NURSING HOME INC (NPI# 1508849522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508849522 |
| Entity Type | Organization |
| Organization Name | CLARENCE NURSING HOME INC |
| Other Organization Name | CLARENCE NURSING HOME |
| Practice Address |
402 2nd Ave Po Box H Clarence IA 52216-9754 |
| Practice Telephone | 5634523262 |
| Practice Fax Number | 5634523848 |
| Mailing Telephone | 5634523262 |
| Mailing Fax Number | 5634523848 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2009-06-16 |
| Authorized Official Name | MR. JASON TJADEN (ADMINISTRATOR) |
| Authorized Official Telephone | 5634523262 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | N149 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0800599 | 05 |
| Other Name | Type Code |
|---|---|
| Clarence Nursing Home | Doing Business As Name - Organization |
| Street Address |
402 2ND AVE PO BOX H |
| City | CLARENCE |
| State | IA |
| Zip Code | 52216-9754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780088393 | Clarence Nursing Home, Inc | Assisted Living Facility | 402 2nd Ave, Clarence, IA 52216-9754 | 2014-10-13 |
| 1699019844 | Sara J Otten | Physical Therapist | 402 2nd Ave, Clarence, IA 52216-9754 | 2012-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033110739 | City of Clarence | Ambulance | 411 Lombard St., Clarence, IA 52216 | 2005-08-03 |
| 1457484230 | Frederick Russell Drexler | Dentist | 303 5th Avenue, Clarence, IA 52216-0446 | 2007-03-13 |
| 1538109749 | Ann Marie Campagna | Chiropractor | 507 Lombard St, Clarence, IA 52216-7703 | 2006-06-07 |
| 1912983966 | David L Askelson | Physician Assistant | 411 1st Ave, Clarence, IA 52216-9744 | 2005-12-21 |
| 1942789250 | Heather Lynn Schott | Nurse Practitioner | 411 1st Ave, Clarence, IA 52216-9744 | 2018-08-08 |
| 1598289316 | St Luke's Jones Regional Medical Center | Family Medicine | 411 1st Ave, Clarence, IA 52216-9744 | 2017-08-02 |
| 1154604536 | Anna C. Pruess | Nurse Practitioner | 411 1st Ave, Clarence, IA 52216-9744 | 2011-09-22 |
| 1194760561 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 411 1st Ave, Clarence, IA 52216-9744 | 2006-06-18 |
| 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 |
|---|---|---|---|---|
| 1124089859 | Brothers of Mercy Nursing Home Company Inc | Skilled Nursing Facility | 10570 Bergtold Rd, Clarence, NY 14031-2198 | 2006-03-31 |
| 1437158060 | Clarence Nursing Home District | Skilled Nursing Facility | 111 East St, Clarence, MO 63437-1902 | 2005-07-15 |
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|---|---|---|---|---|
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| 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 |
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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.