FIVE STAR QUALITY CARE IA LLC (NPI# 1518913086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518913086 |
| Entity Type | Organization |
| Organization Name | FIVE STAR QUALITY CARE IA LLC |
| Other Organization Name | WESTRIDGE QUALITY CARE & REHAB |
| Practice Address |
600 Manor Dr Clarinda IA 51632-2444 |
| Practice Telephone | 7125425161 |
| Practice Fax Number | 7125423430 |
| Mailing Telephone | 7125425161 |
| Mailing Fax Number | 7125423430 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2019-03-28 |
| Authorized Official Name | KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6177968387 |
| Is Organization Subpart | Y |
| Parent Organization Name | FIVE STAR QUALITY CARE IA LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 730816 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0805374 | 05 |
| Other Name | Type Code |
|---|---|
| Westridge Quality Care & Rehab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891740213 | Five Star Quality Care Ia LLC | Skilled Nursing Facility | 608 Prairie St, Mediapolis, IA 52637-7843 | 2006-05-24 |
| 1992750152 | Five Star Quality Care Ia LLC | Skilled Nursing Facility | 1015 W Summit St, Winterset, IA 50273-2209 | 2006-05-24 |
| 1750336806 | Five Star Quality Care Ia LLC | Skilled Nursing Facility | 34 Northcrest Dr, Council Bluffs, IA 51503-1622 | 2006-05-24 |
| Street Address |
600 MANOR DR |
| City | CLARINDA |
| State | IA |
| Zip Code | 51632-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649831678 | Bcp Clarinda, LLC | Skilled Nursing Facility | 600 Manor Dr, Clarinda, IA 51632-2444 | 2019-06-20 |
| 1861059776 | Bethany Sheffield | Physical Therapy Assistant | 600 Manor Dr, Clarinda, IA 51632-2444 | 2019-05-26 |
| 1649633389 | Sarah Elaine Mccormick | Physical Medicine & Rehabilitation | 600 Manor Dr, Clarinda, IA 51632-2444 | 2016-03-31 |
| 1811386907 | Julie Weiss | Physical Therapist | 600 Manor Dr, Clarinda, IA 51632-2444 | 2015-01-13 |
| 1689814212 | Matthew Tyler Hazen | Physical Therapy Assistant | 600 Manor Dr, Clarinda, IA 51632-2444 | 2009-02-23 |
| 1740486125 | Penny Billings | Speech-Language Pathologist | 600 Manor Dr, Clarinda, IA 51632-2444 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477190767 | Jeanine Marie Bradley | Nurse Practitioner | 822 South 17th Street, Clarinda, IA 51632 | 2019-12-05 |
| 1568011203 | Valeria V. Stickler | Specialist | 125 E Washington Street, Suite B, Clarinda, IA 51632 | 2019-09-05 |
| 1982953360 | Katie Louise Abold | Counselor | 1820 North 16th St, Clarinda, IA 51632 | 2012-08-31 |
| 1922295245 | Assisted Living Concepts Inc | Assisted Living Facility | 920 West Garfield, Clarinda, IA 51632 | 2007-10-01 |
| 1841480357 | Kevin L Ketter | Physical Therapist | 17th St.and Wells St., Clarinda Regional Health Center, Clarinda, IA 51632 | 2007-07-31 |
| 1053520056 | Mitchell John Hargin | Chiropractor | 218 N 16th Street, Clarinda, IA 51632 | 2007-05-22 |
| 1679789614 | Robin L. Moeller-sunderman | Social Worker | Southwest Iowa Families, 215 E. Washington St., Clarinda, IA 51632 | 2007-05-15 |
| 1780898346 | Clarinda Regional Health Center | Durable Medical Equipment & Medical Supplies | 823 South 17th Street, Clarinda, IA 51632 | 2007-05-10 |
| 1245364728 | Teresa B Rosales | Psychiatry & Neurology | 1800 North 16th St., Clarinda, IA 51632 | 2007-03-15 |
| 1306915871 | Robert D Nassen | Dentist | 109 1 2 E Main St, Clarinda, IA 51632 | 2006-11-07 |
| Find all providers in zip 51632 | ||||
| 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 |
|---|---|---|---|---|
| 1891790150 | Jp Senior Healthcare LLC | Skilled Nursing Facility | 225 W Laperla Dr, Clarinda, IA 51632-3002 | 2005-06-14 |
| 1649831678 | Bcp Clarinda, LLC | Skilled Nursing Facility | 600 Manor Dr, Clarinda, IA 51632-2444 | 2019-06-20 |
| 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 | ||||
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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.