ROSE HAVEN NURSING HOME INC. (NPI# 1578559142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578559142 |
| Entity Type | Organization |
| Organization Name | ROSE HAVEN NURSING HOME INC. |
| Other Organization Name | ROSE HAVEN |
| Practice Address |
1500 Franklyn Ave Marengo IA 52301-1312 |
| Practice Telephone | 3196425533 |
| Practice Fax Number | 3196423822 |
| Mailing Telephone | 3196425533 |
| Mailing Fax Number | 3196423822 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID OWEN YEARIAN (ADMINISTRATOR) |
| Authorized Official Telephone | 3196425533 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | N-183 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0803502 | 05 |
| Other Name | Type Code |
|---|---|
| Rose Haven | Doing Business As Name - Organization |
| Street Address |
1500 FRANKLYN AVE |
| City | MARENGO |
| State | IA |
| Zip Code | 52301-1312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942672613 | Paradym Health Care Inc | Nursing Facility/Intermediate Care Facility | 1500 Franklyn Ave, Marengo, IA 52301-1312 | 2015-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659382596 | Terry Lee Babor | Dentist | 599 Eastern Ave, Marengo, IA 52301 | 2006-08-09 |
| 1134158934 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 1400 Harrison, Quincy, IL 52301 | 2006-07-02 |
| 1336182971 | Mark B. Irland | Family Medicine | 300 W. May St., Marengo, IA 52301 | 2006-06-13 |
| 1295724243 | Mark Allen Siebrecht | Podiatrist | 255 W. Lucas St., Marengo, IA 52301 | 2005-10-20 |
| 1184159378 | Katie Collingwood | Counselor | 398 W South St, Marengo, IA 52301-1231 | 2017-04-25 |
| 1043375132 | Marengo Memorial Hospital | Family Medicine | 300 W May St Ste A, Marengo, IA 52301-1261 | 2006-12-27 |
| 1285637835 | George Maurice Miller Jr. | Surgery | 300 W May St, Marengo, IA 52301-1261 | 2005-05-27 |
| 1548881519 | Riley Bradley | Physical Medicine & Rehabilitation | 300 W May St, Marengo, IA 52301-1261 | 2020-04-30 |
| 1841846383 | Dalton Boland | Physical Therapist | 300 W May St, Marengo, IA 52301-1261 | 2019-08-12 |
| 1639650013 | Andrew Marzocchi | Physical Therapy Assistant | 300 W May St, Marengo, IA 52301-1261 | 2018-08-23 |
| Find all providers in zip 52301 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942672613 | Paradym Health Care Inc | Nursing Facility/Intermediate Care Facility | 1500 Franklyn Ave, Marengo, IA 52301-1312 | 2015-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389346 | Perry Lutheran Home - Rowley Campus LLC | Nursing Facility/Intermediate Care Facility | 1300 28th St, Perry, IA 50220-2329 | 2020-09-01 |
| 1225546948 | Creekside, Inc | Nursing Facility/Intermediate Care Facility | 503 Wical Way, Grundy Center, IA 50638-0000 | 2018-01-16 |
| 1679920946 | Roy Gonzalez | Nursing Facility/Intermediate Care Facility | 40 Ridgeview Rd, Sioux City, IA 51104-4052 | 2016-05-17 |
| 1609241926 | Monica Wincentsen | Nursing Facility/Intermediate Care Facility | 122 Euclid Ave, Norway, IA 52318 | 2015-12-11 |
| 1003246000 | Keystone Nursing Care Center, Inc | Nursing Facility/Intermediate Care Facility | 280 5th St, Suite 2, Keystone, IA 52249-9533 | 2013-11-13 |
| 1346434826 | Shenandoah Enterprises LLC | Nursing Facility/Intermediate Care Facility | 1201 S Walnut St, Shenandoah, IA 51601-2176 | 2007-08-28 |
| 1952528424 | S.t.l. Care Company | Nursing Facility/Intermediate Care Facility | 1220 5th Ave Se, Cedar Rapids, IA 52403-4049 | 2007-04-19 |
| 1568686236 | Martin Health Center, Inc. | Nursing Facility/Intermediate Care Facility | 420 E 11th St, Cedar Falls, IA 50613-3364 | 2007-04-12 |
| 1548386675 | Longhouse-northshire, Ltd | Nursing Facility/Intermediate Care Facility | 711 W 11th St, Spencer, IA 51301-3237 | 2007-03-21 |
| 1083738132 | Spurgeon Manor, Inc. | Nursing Facility/Intermediate Care Facility | 1204 Linden St, Dallas Center, IA 50063-1052 | 2007-03-16 |
| 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.