THE ROSE OF WATERLOO, L.P. (NPI# 1649614355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649614355 |
Entity Type | Organization |
Organization Name | THE ROSE OF WATERLOO, L.P. |
Practice Address |
421 Oak Ave Waterloo IA 50703-3401 |
Mailing Address |
16670 Franklin Trl Se Prior Lake MN 55372-2927 |
Practice Telephone | 3192326061 |
Practice Fax Number | 3192326571 |
Mailing Telephone | 9524472345 |
Mailing Fax Number | 9524472344 |
Enumeration Date | 2013-04-24 |
Last Update Date | 2013-04-24 |
Authorized Official Name | MR. GREGORY A MCCLENAHAN (PRESIDENT OF GENERAL PARTNER) |
Authorized Official Telephone | 9524472345 |
Authorized Official Credential | J.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | IA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | X000700924 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | THE ROSE OF WATERLOO, L.P. | 16670 Franklin Trail, Suite 240, Prior Lake, MN 55372 |
Street Address |
421 OAK AVE |
City | WATERLOO |
State | IA |
Zip Code | 50703-3401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821457235 | Open Arms Home Health Care - Waterloo, LLC | Home Health | 421 Oak Ave, Waterloo, IA 50703-3401 | 2016-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
1215359054 | Chuck Corwin | Counselor | 607 Sycamore Street, Suite 300, Waterloo, IA 50703 | 2014-01-14 |
1679672554 | Linda D Bartollas | Social Worker | 146 West Dale Street, Suite 101, Waterloo, IA 50703 | 2006-09-21 |
1558477745 | Brent Matthew Hintz | Obstetrics & Gynecology | 212 West Dale St., Suite 402, Waterloo, IA 50703 | 2006-08-21 |
1588629729 | Mir Ahmad Waziri | Pediatrics | 212 W Dale Street, Suite 302, Waterloo, IA 50703 | 2006-04-19 |
1568432615 | Wei Yang | Pathology | Northeast Iowa Pathology Associates, PC, 1825 Logan Avenue, Waterloo, IA 50703 | 2006-01-23 |
1689158040 | Megan Elizabeth O'neal | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2018-09-21 |
1972031359 | Stephanie Rose Smith | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2017-05-30 |
1801263462 | Krissy Jean Wieland | Nurse Practitioner | 220 Franklin St, Waterloo, IA 50703 | 2015-08-28 |
1699169698 | Jens Masters Olsen | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703 | 2015-03-27 |
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Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164089157 | Friendship Village Inc. | Assisted Living Facility | 312 Southbrooke Dr, Waterloo, IA 50702-5804 | 2019-05-24 |
1982696126 | Abcm Corporation | Assisted Living Facility | 121 Danberry Cir, Waterloo, IA 50701-9389 | 2005-08-15 |
1457500621 | Monroe County | Assisted Living Facility | 623 Hamacher Street, Waterloo, IL 62298-1598 | 2008-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235739582 | Countryhouse Cedar Rapids LLC | Assisted Living Facility | 5710 Gibson Drive Ne, Cedar Rapids, IA 52411 | 2020-10-27 |
1912504366 | Algona Ia Assisted Living Facility LLC | Assisted Living Facility | 512 N Finn Dr, Algona, IA 50511-7228 | 2020-10-07 |
1295349207 | Keystone North Liberty, LLC | Assisted Living Facility | 1275 W Forevergreen Rd, North Liberty, IA 52317-8533 | 2020-09-08 |
1316557218 | Rock Valley Assisted Living LLC | Assisted Living Facility | 712 Westview Dr, Rock Valley, IA 51247-7619 | 2020-08-05 |
1962011262 | Heartland Health Management, Inc. | Assisted Living Facility | 126 W Stonebrook Dr, Mount Pleasant, IA 52641-2686 | 2020-07-23 |
1972125003 | Arhc Phcrpia01 Trs, LLC | Assisted Living Facility | 2903 F Ave Nw, Cedar Rapids, IA 52405-2909 | 2020-05-12 |
1740812072 | Spirit Lake Senior Operator, LLC | Assisted Living Facility | 2810 Aurora Ave, Spirit Lake, IA 51360-7055 | 2020-02-05 |
1679112841 | Arhc Psindia01 Trs | Assisted Living Facility | 505 Enterprise Dr, Independence, IA 50644-9603 | 2020-01-05 |
1356996177 | Abilit Holdings (hawthorne Crossing) LLC | Assisted Living Facility | 601 Hawthorne Crossing Dr Se, Bondurant, IA 50035-1376 | 2019-08-08 |
1881253151 | Hammond Center, LLC | Assisted Living Facility | 907 Orchard Dr, Grinnell, IA 50112-2075 | 2019-06-11 |
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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.