FRIENDSHIP VILLAGE INC. (NPI# 1639348873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639348873 |
| Entity Type | Organization |
| Organization Name | FRIENDSHIP VILLAGE INC. |
| Practice Address |
600 Park Ln Waterloo IA 50702-5200 |
| Practice Telephone | 3192918100 |
| Practice Fax Number | 3192918324 |
| Mailing Telephone | 3192918100 |
| Mailing Fax Number | 3192918324 |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | LISA E GATES (CFO) |
| Authorized Official Telephone | 3192918100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | N429 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0801332 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164089157 | Friendship Village Inc. | Assisted Living Facility | 312 Southbrooke Dr, Waterloo, IA 50702-5804 | 2019-05-24 |
| Street Address |
600 PARK LN |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053755231 | Friends At Home | In Home Supportive Care | 600 Park Ln, Waterloo, IA 50702-5200 | 2013-04-18 |
| 1790880383 | Friends of Faith Retirement Homes, Inc. | Skilled Nursing Facility | 600 Park Ln, Waterloo, IA 50702-5299 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| Find all providers in zip 50702 | ||||
| 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 |
|---|---|---|---|---|
| 1548780828 | Monroe County | Skilled Nursing Facility | 623 Hamacher St, Waterloo, IL 62298-1786 | 2017-06-27 |
| 1003854944 | Manor Care of Waterloo Ia LLC | Skilled Nursing Facility | 201 W Ridgeway Ave, Waterloo, IA 50701-4235 | 2006-06-03 |
| 1780657247 | Care Initiatives | Skilled Nursing Facility | 2651 Saint Francis Dr, Waterloo, IA 50702-5442 | 2006-02-07 |
| 1063484780 | Care Initiatives | Skilled Nursing Facility | 2001 Heath Street, Waterloo, IA 50703-1214 | 2006-02-06 |
| 1174525505 | Abcm Corporation | Skilled Nursing Facility | 2950 W Shaulis Rd, Waterloo, IA 50701-9702 | 2005-08-15 |
| 1194724906 | Canterbury Manor Nursing Center Inc | Skilled Nursing Facility | 718 N Market St, Waterloo, IL 62298-1014 | 2005-07-14 |
| 1942205182 | Seneca Nursing and Rehabilitation | Skilled Nursing Facility | 200 Douglas Dr, Waterloo, NY 13165-1645 | 2005-06-15 |
| 1164424487 | Monroe County | Skilled Nursing Facility | 623 Hamacher Street, Waterloo, IL 62298-1598 | 2005-06-01 |
| 1285106567 | Black Hawk Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 1410 W Dunkerton Rd, Waterloo, IA 50703-9648 | 2018-12-26 |
| 1003289372 | Orthopaedic and Neurological Rehabilitation,inc | Skilled Nursing Facility | 2651 Saint Francis Dr, Waterloo, IA 50702-5442 | 2015-11-08 |
| Find all providers in WATERLOO | ||||
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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.