CCRC OF ALTOONA LLC (NPI# 1558799031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558799031 |
| Entity Type | Organization |
| Organization Name | CCRC OF ALTOONA LLC |
| Other Organization Name | PRAIRIE VISTA VILLAGE |
| Practice Address |
2785 1st Ave S Altoona IA 50009-8820 |
| Mailing Address |
11827 W 112th St Ste 103 Overland Park KS 66210-2726 |
| Practice Telephone | 5159678700 |
| Practice Fax Number | 5159676032 |
| Mailing Telephone | 9138904782 |
| Mailing Fax Number | 9139566564 |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2015-03-18 |
| Authorized Official Name | SCOTT E GULLEDGE (MANAGER) |
| Authorized Official Telephone | 9138904782 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0800115 | 05 |
| Other Name | Type Code |
|---|---|
| Prairie Vista Village | Doing Business As Name - Organization |
| Street Address |
2785 1ST AVE S |
| City | ALTOONA |
| State | IA |
| Zip Code | 50009-8820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356846414 | Iowa Dermatology Clinic Plc | Clinic/Center | 3053 8th Street, Suite 200, Altoona, IA 50009 | 2018-03-29 |
| 1851845002 | Katie Denker | Physical Therapist | 3160 8th St Sw Ste M&n, Altoona, IA 50009 | 2016-08-04 |
| 1326417593 | Jennifer Boyles | Dentist | 2575 1st Ave S, Altoona, IA 50009 | 2015-09-17 |
| 1760898795 | Matthew Nicholson | Family Medicine | 160 Adventureland Dr Nw Ste C, Altoona, IA 50009 | 2014-07-10 |
| 1780960237 | Michael Joseph Hoffman | Pharmacist | 233 35th Street Southwest, Altoona, IA 50009 | 2011-10-28 |
| 1932427101 | Michael D Wall | Physical Therapist | 2720 8th Street Sw, Altoona, IA 50009 | 2010-05-12 |
| 1285959957 | Iowa Hearing Associates LLC | Hearing Aid Equipment | 3160 8th St Sw Suite F, Altoona, IA 50009 | 2010-04-06 |
| 1114046547 | Christopher John Hlas | Dentist | 107 8th St Se, Altoona, IA 50009 | 2007-03-28 |
| 1164506622 | Kylon A Schmitt | Physician Assistant | 3770 8th St Sw Ste B, Altoona, IA 50009 | 2006-10-24 |
| 1740395771 | Iowa Family Pharmacy Inc | Pharmacy | 325 8th St Se, Altoona, IA 50009 | 2006-08-20 |
| Find all providers in zip 50009 | ||||
| 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 |
|---|---|---|---|---|
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 1679028088 | Guardian Elder Care At Altoona LLC | Skilled Nursing Facility | 700 S Cayuga Ave, Altoona, PA 16602-4303 | 2016-08-16 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
| 1669826095 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 286 North Willson Dr., Altoona, WI 54720 | 2016-04-22 |
| 1275584658 | Ggnsc Altoona Hillview Lp | Skilled Nursing Facility | 700 Cayuga Ave, Altoona, PA 16602-4303 | 2006-05-12 |
| 1841259702 | Centers for Long Term Care of Iowa, Inc | Skilled Nursing Facility | 200 7th Ave Sw, Altoona, IA 50009-1630 | 2006-03-20 |
| 1235105834 | County of Blair | Skilled Nursing Facility | 301 Valley View Blvd, Altoona, PA 16602-6409 | 2006-02-24 |
| 1609868595 | Altoona Health & Rehab, Inc. | Skilled Nursing Facility | 6532 Walnut Grove Rd, 6532 Walnut Grove Rd, Altoona, AL 35952-8405 | 2005-08-17 |
| 1962409060 | Altoona Center for Nursing Care, LLC | Skilled Nursing Facility | 1020 Green Ave, Altoona, PA 16601-4623 | 2005-07-05 |
| 1710518246 | Opco Altoona, Ia, LLC | Skilled Nursing Facility | 200 7th Ave Sw, Altoona, IA 50009-1630 | 2020-02-03 |
| Find all providers in ALTOONA | ||||
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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.