CEDAR VALLEY RANCH (NPI# 1518975770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518975770 |
| Entity Type | Organization |
| Organization Name | CEDAR VALLEY RANCH |
| Practice Address |
2591 61st Street Lane Vinton IA 52349 |
| Practice Telephone | 3194722671 |
| Practice Fax Number | 3194725068 |
| Mailing Telephone | 3194722671 |
| Mailing Fax Number | 3194725068 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM D NELSON (ADMINISTRATOR) |
| Authorized Official Telephone | 3194722671 |
| Authorized Official Credential | LICENSED NUSRING |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 060691 | IA | Residential Treatment Facilities |
| X | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 060691 | IA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | ARO | 0252072 | 01 |
| IA | 0895581 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CEDAR VALLEY RANCH, INC. | 2591 61st St Ln, Vinton, IA 52349 |
| Street Address |
2591 61ST STREET LANE |
| City | VINTON |
| State | IA |
| Zip Code | 52349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154870079 | Peyton Frank | Marriage & Family Therapist | 411 A Avenue, Vinton, IA 52349 | 2016-10-04 |
| 1437591229 | James Andrew Mcloughlin | Physician Assistant | 502 N 9th Avenue, Vinton, IA 52349 | 2013-07-23 |
| 1821335167 | Advanced Eyecare Associates of Eastern Iowa Vinton PC | Optometrist | 1113 W 3rd St, Box 397, Vinton, IA 52349 | 2013-01-07 |
| 1972875870 | Emily Rachel Stone | Physical Therapist | 502 N. 9th Ave, Vinton, IA 52349 | 2012-02-08 |
| 1467674630 | Windsor Manor | Assisted Living Facility | 1807 W 5th Street, Vinton, IA 52349 | 2007-05-03 |
| 1194811976 | Jonathan Roy Clingman | Pharmacist | 106 East 4th St., Vinton, IA 52349 | 2006-10-05 |
| 1356350243 | Alan Stanley Woodhouse | Dentist | 207 E 4th Street, Vinton, IA 52349 | 2006-08-07 |
| 1952772170 | Vanessa Leah West | Counselor | 100 W 4th Street, Vinton, IA 52349 | 2015-10-14 |
| 1831271998 | Lagrange Pharmacy Inc | Pharmacy | 111 W 4th St, Vinton, IA 52349 | 2006-10-19 |
| 1003845553 | Virginia Gay Hospital, Inc | Emergency Medicine | 502 N 9th Ave, Vinton, IA 52349 | 2006-06-30 |
| Find all providers in zip 52349 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174976757 | North Iowa Juvenile Detention Services | Community Based Residential Treatment Facility, Mental Illness | 1440 W Dunkerton Rd, Waterloo, IA 50703-9648 | 2016-07-19 |
| 1982096608 | Resources for Human Development,inc. | Community Based Residential Treatment Facility, Mental Illness | 1146 Blairs Ferry Rd Ne, Suite 2, Cedar Rapids, IA 52402-1274 | 2015-03-04 |
| 1447658984 | Judy Alexander | Community Based Residential Treatment Facility, Mental Illness | 2219 W Hills Dr, Fairfield, IA 52556-4739 | 2014-12-16 |
| 1861824617 | Kingston Hill, Inc. | Community Based Residential Treatment Facility, Mental Illness | 202 12th St Nw, Cedar Rapids, IA 52405-3913 | 2013-08-04 |
| 1043554629 | Dac, Inc | Community Based Residential Treatment Facility, Mental Illness | 18720 250th Ave, Bellevue, IA 52031-8202 | 2012-11-20 |
| 1093937260 | Scenic Acres | Community Based Residential Treatment Facility, Mental Illness | 23105 Granite Avenue, Saint Olaf, IA 52074-8049 | 2007-05-03 |
| 1184745424 | Urban Dreams | Community Based Residential Treatment Facility, Mental Illness | 1410 6th Ave, Des Moines, IA 50314-2801 | 2007-04-03 |
| 1013044643 | Community Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 13241 County Home Road, E23, Scotch Grove, IA 52310 | 2007-02-28 |
| 1104951193 | Partnership for Progress | Community Based Residential Treatment Facility, Mental Illness | 60191 Willow St, Atlantic, IA 50022-8172 | 2007-02-22 |
| 1134264807 | Exceptional Persons, Inc | Community Based Residential Treatment Facility, Mental Illness | 1210 Idaho St, Waterloo, IA 50703-4328 | 2007-02-21 |
| 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.