COMMUNITY MEMORIAL HEALTH CENTER (NPI# 1760524763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760524763 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEMORIAL HEALTH CENTER |
| Other Organization Name | HARTLEY SENIOR WELLNESS CENTER |
| Practice Address |
611 3rd St Ne Hartley IA 51346-1262 |
| Practice Telephone | 7127282428 |
| Practice Fax Number | 7127282429 |
| Mailing Telephone | 7127282428 |
| Mailing Fax Number | 7127282429 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JEANNINE BUNGE (ADMINISTRATOR) |
| Authorized Official Telephone | 7127282428 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 710023 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0894717 | 05 |
| Other Name | Type Code |
|---|---|
| Hartley Senior Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952443954 | Community Memorial Health Center | Assisted Living Facility | 233 N 8th Ave W, Hartley, IA 51346-1069 | 2007-02-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HEALTH CENTER | 295 N 8th Ave, Burwell, NE 68823-4168 |
| Iowa Business Entities | COMMUNITY MEMORIAL HEALTH CENTER ASSOCIATION | 231 N 8th Avenue West, Po Box 188, Hartley, IA 51346 |
| Virginia Business Entities | Community Memorial Health Center Physician-Hospital Organization L.L.C. | 125 Buena Vista Circle, South Hill, Virginia 23970 |
| Street Address |
611 3RD ST NE |
| City | HARTLEY |
| State | IA |
| Zip Code | 51346-1262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518901107 | Baum Harmon Mercy Hospital | Clinic/Center | 231 N. 8th Ave W., Hartley, IA 51346-1005 | 2006-06-15 |
| 1194706036 | Timothy Merle Wester | Family Medicine | 231 N 8th Ave W, Hartley, IA 51346-1005 | 2005-11-08 |
| 1275056608 | Brooke Fiddelke | Nurse Practitioner | 231 N 8th Ave W, Hartley, IA 51346-1005 | 2017-07-18 |
| 1952443954 | Community Memorial Health Center | Assisted Living Facility | 233 N 8th Ave W, Hartley, IA 51346-1069 | 2007-02-13 |
| 1225359383 | Nancy Howe, Arnp, PC | Clinical Nurse Specialist | 231 N 8th Ave W, Hartley, IA 51346-1077 | 2010-06-11 |
| 1013025386 | Community Memorial Healthcenter Association | Skilled Nursing Facility | 231 N 8th Ave W, Hartley, IA 51346-1077 | 2006-08-28 |
| 1730517855 | Hhp LLC | Pharmacy | 130 3rd St Ne, Ste A, Hartley, IA 51346-1132 | 2013-10-29 |
| 1306918479 | Teresa Noelle Sampson | Physical Therapist | 512 3rd St Ne, Hartley, IA 51346-1204 | 2006-11-14 |
| 1265787048 | Kaitlin Marie Lewis | Physical Therapist | 512 3rd St Ne, Hartley, IA 51346-1204 | 2012-07-18 |
| 1821270679 | Sanford Health Network | Clinic/Center | 512 3rd St Ne, Hartley, IA 51346-1204 | 2007-12-04 |
| Find all providers in zip 51346 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013375310 | Lan Silver Pines LLC | Custodial Care Facility | 136 36th Ave Sw, Cedar Rapids, IA 52404-4638 | 2016-02-02 |
| 1093105975 | Shellsburg Associates | Custodial Care Facility | 401 Canton St Nw, Shellsburg, IA 52332-9624 | 2015-01-29 |
| 1760686067 | Mitchell County Care Facility | Custodial Care Facility | 3834 March Ave, Osage, IA 50461-8372 | 2007-06-12 |
| 1528261286 | Pursuit of Independence | Custodial Care Facility | 104 West Ohio, Lenox, IA 50851 | 2007-06-08 |
| 1538360151 | Morse Enterprises Inc | Custodial Care Facility | 2876 230th St, Sidney, IA 51652-6086 | 2007-05-30 |
| 1508996901 | Country Life Health Care Inc | Custodial Care Facility | 2554 Ford Ave, Oskaloosa, IA 52577-8850 | 2007-03-06 |
| 1992832356 | Insight Human Services | Custodial Care Facility | 915 South Iris Street, Suite 101, Mt Pleasant, IA 52641 | 2007-02-27 |
| 1588709976 | Country View Estates, Inc. | Custodial Care Facility | 2345 Redwood Ave, Guthrie Center, IA 50115-8888 | 2007-02-21 |
| 1861534265 | Makee Manor Inc | Custodial Care Facility | 877 Highway 9, Waukon, IA 52172-7757 | 2007-02-13 |
| 1215080635 | Hillside Estate Inc | Custodial Care Facility | 2227 225th St, Williamsburg, IA 52361-8503 | 2007-01-19 |
| 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.