SIGNATURE PROPERTIES OF LAKE PARK, LLC (NPI# 1568444792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568444792 |
| Entity Type | Organization |
| Organization Name | SIGNATURE PROPERTIES OF LAKE PARK, LLC |
| Other Organization Name | LAKE PARK CARE CENTER |
| Practice Address |
1304 South Market Lake Park IA 51347-1060 |
| Practice Telephone | 7128323691 |
| Practice Fax Number | 7128329548 |
| Mailing Telephone | 7128323691 |
| Mailing Fax Number | 7128329548 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2012-01-20 |
| Authorized Official Name | MR. BRUCE H. MEHLHOP (MANAGING MEMBER) |
| Authorized Official Telephone | 5157271770 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 300598 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0809731 | 05 |
| Other Name | Type Code |
|---|---|
| Lake Park Care Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SIGNATURE PROPERTIES OF LAKE PARK, LLC | 717 Nw Boulder Brook Dr, Ankeny, IA 50023 |
| Street Address |
1304 SOUTH MARKET |
| City | LAKE PARK |
| State | IA |
| Zip Code | 51347-1060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205983541 | Harris-lake Park C.s.d. | Local Education Agency (LEA) | 905 South Market, Lake Park, IA 51347 | 2007-01-05 |
| 1619050929 | Sioux Valley Regional Health Services | Nurse Practitioner | 204 Market St., Lake Park, IA 51347 | 2006-10-23 |
| 1396814117 | Sanford Health Network | Clinic/Center | 204 Market St, Lake Park, IA 51347 | 2006-11-07 |
| 1083700579 | Chad Michael Niemeier | Chiropractor | 222 Market Street, Lake Park, IA 51347-0246 | 2006-10-04 |
| 1407030422 | Niemeier Spine & Sports Chiropractic Plc | Chiropractor | 222 Market Street, Lake Park, IA 51347-0246 | 2007-12-27 |
| 1366532756 | Lee A. Ditsworth | Chiropractor | 19 Avenue C West, Lake Park, IA 51347-0448 | 2006-10-13 |
| 1376768135 | Hfc Enterprises, Inc | Nurse Practitioner | 215 Market St Ste 2, Lake Park, IA 51347-0627 | 2007-04-16 |
| 1700969110 | Denise Sharon Hemphill | Nurse Practitioner | 215 Market St Ste 2, Lake Park, IA 51347-0627 | 2006-10-23 |
| 1124563994 | Pearl Valley Rehabilitation and Nursing At Lake Park, LLC | Skilled Nursing Facility | 1304 S Market St, Lake Park, IA 51347-1060 | 2017-01-03 |
| 1134787930 | Sanford Health Network | Clinic/Center | 215 N Market St, Suite 2, Lake Park, IA 51347-7706 | 2019-06-05 |
| Find all providers in zip 51347 | ||||
| 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 |
|---|---|---|---|---|
| 1124563994 | Pearl Valley Rehabilitation and Nursing At Lake Park, LLC | Skilled Nursing Facility | 1304 S Market St, Lake Park, IA 51347-1060 | 2017-01-03 |
| 1831126374 | Sunnyside Nursing Home | Skilled Nursing Facility | 16561 Us Highway 10, Lake Park, MN 56554-9302 | 2006-06-28 |
| 1376519934 | Lake Park Snf LLC | Skilled Nursing Facility | 750 Bayberry Dr, Lake Park, FL 33403-3248 | 2006-02-24 |
| 1083091441 | North Lake Facility Inc | Skilled Nursing Facility | 750 Bayberry Dr, Lake Park, FL 33403-3248 | 2015-05-05 |
| 1912106683 | Lake Park Snf LLC | Skilled Nursing Facility | 750 Bayberry Dr, Lake Park, FL 33403-3248 | 2007-07-13 |
| 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.