REGENCY PARK NURSING AND REHABILITATION CENTER OF JEFFERON (NPI# 1699824979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699824979 |
| Entity Type | Organization |
| Organization Name | REGENCY PARK NURSING AND REHABILITATION CENTER OF JEFFERON |
| Practice Address |
100 Ram Dr Jefferson IA 50129-2728 |
| Practice Telephone | 5153864107 |
| Practice Fax Number | 5153862347 |
| Mailing Telephone | 5153864107 |
| Mailing Fax Number | 5153862347 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MATTHEW ALLEN CARPENTER (ADMINISTRATOR) |
| Authorized Official Telephone | 5153864107 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 370034 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0650390 | 05 |
| Street Address |
100 RAM DR |
| City | JEFFERSON |
| State | IA |
| Zip Code | 50129-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477513059 | Centers for Long Term Care of Iowa | Skilled Nursing Facility | 100 Ram Dr, Jefferson, IA 50129-2728 | 2006-03-27 |
| 1346872413 | Opco Jefferson, Ia, LLC | Skilled Nursing Facility | 100 Ram Dr, Jefferson, IA 50129-2728 | 2020-02-06 |
| 1639310659 | Steve C Walker | Physical Therapy Assistant | 100 Ram Dr, Jefferson, IA 50129-2728 | 2009-03-20 |
| 1518041854 | Pinnacle Health Facilities Xvii Lp | Skilled Nursing Facility | 100 Ram Dr, Jefferson, IA 50129-2728 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689494 | John Bryan Brunow | Durable Medical Equipment & Medical Supplies | 208 E Lincoln Way, Jefferson, IA 50129 | 2018-08-15 |
| 1083903140 | Private Victories Counseling Services, LLC | Marriage & Family Therapist | 115 East Lincolnway, Suite 340, Jefferson, IA 50129 | 2011-03-29 |
| 1093860108 | William Hoyt Monroe | Pharmacist | 400 North Elm Street, Jefferson, IA 50129 | 2007-01-25 |
| 1073672036 | Martin W Miller | Chiropractor | 206 N Grimmell Road, Jefferson, IA 50129 | 2006-12-06 |
| 1972548303 | Hy Vee Inc | Pharmacy | 106 W. Washington Street, Suite 1, Jefferson, IA 50129 | 2006-06-19 |
| 1720052996 | Michael Dean Smith | Audiologist-Hearing Aid Fitter | 100 S Wilson Ave, Jefferson, IA 50129 | 2006-02-15 |
| 1407843220 | Laurie Lynn Connolly | Family Medicine | 1002 Lincoln Way, Jefferson, IA 50129 | 2005-10-06 |
| 1639173685 | Anglemyer Pharmacies LLC | Durable Medical Equipment & Medical Supplies | 400 N Elm St, Jefferson, IA 50129 | 2005-06-08 |
| 1174740385 | Holly M Van De Voort | Pediatrics | 1000 W Lincoln Way, Jefferson, IA 50129 | 2007-04-19 |
| 1235127481 | Thomas W. Fagg | Family Medicine | 1002 Lincoln Way, Jefferson, IA 50129 | 2005-10-12 |
| Find all providers in zip 50129 | ||||
| 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 |
|---|---|---|---|---|
| 1669711735 | Mark Bordeaux | Skilled Nursing Facility | Margate Health and Rehab 540 Waugh St, Jefferson, NC 28640-9034 | 2013-02-08 |
| 1962505313 | Margate Health and Rehab Center LLC | Skilled Nursing Facility | 540 Waugh Street, Jefferson, NC 28640-0130 | 2006-09-07 |
| 1487692380 | Jefferson Healthcare Center LLC | Skilled Nursing Facility | 2200 Jefferson Hwy, Jefferson, LA 70121-3822 | 2006-06-03 |
| 1477513059 | Centers for Long Term Care of Iowa | Skilled Nursing Facility | 100 Ram Dr, Jefferson, IA 50129-2728 | 2006-03-27 |
| 1952397739 | Pine Hill Nursing and Rehabilitation Lp | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2005-09-27 |
| 1801881420 | Jefferson Health Center | Skilled Nursing Facility | 222 E Beech St, Jefferson, OH 44047-9490 | 2005-09-20 |
| 1346872413 | Opco Jefferson, Ia, LLC | Skilled Nursing Facility | 100 Ram Dr, Jefferson, IA 50129-2728 | 2020-02-06 |
| 1124495486 | Fannin County Hospital Authority | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2015-08-21 |
| 1285958298 | Alden Estates of Countryside, Inc. | Skilled Nursing Facility | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2010-03-19 |
| 1598910291 | Jefferson I Enterprises, LLC | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2008-11-21 |
| Find all providers in JEFFERSON | ||||
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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.