MONTICELLO NURSING HOME COMPANY (NPI# 1649239492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649239492 |
| Entity Type | Organization |
| Organization Name | MONTICELLO NURSING HOME COMPANY |
| Other Organization Name | MONTICELLO NURSING & REHABILITATION CENTER |
| Practice Address |
500 Pinehaven Dr Monticello IA 52310-2049 |
| Practice Telephone | 3194655415 |
| Practice Fax Number | 3194653205 |
| Mailing Telephone | 3194655415 |
| Mailing Fax Number | 3194653205 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2011-10-14 |
| Authorized Official Name | MR. DONALD L CHENSVOLD (MANAGER) |
| Authorized Official Telephone | 3193628916 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 530729 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | CLIA | 16D0667011 | 01 |
| IA | 0809194 | 05 |
| Other Name | Type Code |
|---|---|
| Monticello Nursing & Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
500 PINEHAVEN DR |
| City | MONTICELLO |
| State | IA |
| Zip Code | 52310-2049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144613969 | Jayme Hopkins | Occupational Therapist | 500 Pinehaven Dr, Monticello, IA 52310-2049 | 2015-03-18 |
| 1346467651 | Monticello Nursing Home Company LLC | Skilled Nursing Facility | 500 Pinehaven Dr, Monticello, IA 52310-2049 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205058476 | Elizabeth Hannah Johnson | Counselor | 818 West First Street, Monticello, IA 52310 | 2007-05-03 |
| 1013044643 | Community Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 13241 County Home Road, E23, Scotch Grove, IA 52310 | 2007-02-28 |
| 1063559524 | Edinburgh Manor of Community Care, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13241 County Home Road E23, Scotch Grove, IA 52310 | 2007-01-31 |
| 1295888014 | Prescription Shoppe Inc | Pharmacy | 304 E 1st St, Monticello, IA 52310 | 2007-01-18 |
| 1760474290 | Peter James Kennedy | Chiropractor | 325 E 1st St, Monticello, IA 52310 | 2005-08-19 |
| 1083746978 | Community Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 13241 County Home Road, E23, Scotch Grove, IA 52310 | 2007-03-09 |
| 1518014034 | Kevin J Stingley | Dentist | 139 S Main, Suite A, Monticello, IA 52310-0167 | 2007-01-05 |
| 1760539480 | Monticello Community School District | Local Education Agency (LEA) | 711 N Maple St, Monticello, IA 52310-1038 | 2007-01-04 |
| 1013266188 | Back Home Chiropractic, LLC | Chiropractor | 818 W 1st St Ste 101, Monticello, IA 52310-1307 | 2012-09-05 |
| 1649279100 | Above & Beyond Home Health Care Inc | Hospice Care, Community Based | 818 W 1st St, Suite 301, Monticello, IA 52310-1307 | 2005-07-18 |
| Find all providers in zip 52310 | ||||
| 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 |
|---|---|---|---|---|
| 1720690027 | Brynwood Operations LLC | Skilled Nursing Facility | 1656 S Jefferson St, Monticello, FL 32344-1652 | 2020-08-18 |
| 1407147614 | Monticello Hlth Mgmt LLC | Skilled Nursing Facility | 1780 N Jefferson Hwy, Monticello, FL 32344-5536 | 2011-04-21 |
| 1306165915 | Witham Memorial Hospital | Skilled Nursing Facility | 814 S 6th St, Monticello, IN 47960-8199 | 2010-05-21 |
| 1700896883 | Monticello Healthcare Center, LLC | Skilled Nursing Facility | 1052 Old Warren Rd, Monticello, AR 71655 | 2006-08-09 |
| 1366494510 | Ggnsc Monticello LLC | Skilled Nursing Facility | 1194 N Chester St, Monticello, AR 71655-4133 | 2006-05-16 |
| 1144278565 | Monticello Community Care Center LLC | Skilled Nursing Facility | 700 Jefferson St., Monticello, MS 39654-0398 | 2006-05-05 |
| 1861489254 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1120 N Main St, Monticello, IN 47960 | 2005-09-30 |
| 1588657696 | Monticello-big Lake Community Hospital | Skilled Nursing Facility | 1104 E River St, Monticello, MN 55362-8762 | 2005-08-24 |
| 1679565253 | Delta Health Group Inc | Skilled Nursing Facility | 1656 S Jefferson, Monticello, FL 32344-1652 | 2005-08-18 |
| 1124029871 | Monticello Partnership Ltd | Skilled Nursing Facility | 1780 N Jefferson, Monticello, FL 32344-5536 | 2005-08-03 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 52310 |
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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.