NORTHRIDGE ASSISTED LIVING, LLC (NPI# 1790801314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790801314 |
| Entity Type | Organization |
| Organization Name | NORTHRIDGE ASSISTED LIVING, LLC |
| Practice Address |
1110 North 6th Street Chariton IA 50049 |
| Mailing Address |
3715 Sw 29th St Topeka KS 66614-2107 |
| Practice Telephone | 6417742303 |
| Mailing Telephone | 7852721535 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL D. TRYON (CFO) |
| Authorized Official Telephone | 7852287913 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | NORTHRIDGE ASSISTED LIVING, LLC | 3024 Sw Wanamaker Rd, Topeka, KS 66614 |
| Street Address |
1110 NORTH 6TH STREET |
| City | CHARITON |
| State | IA |
| Zip Code | 50049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952838633 | Kimberly Dawn Pace | Counselor | 115 S. Main St, Chariton, IA 50049 | 2017-05-12 |
| 1710019054 | David John Randall | Dentist | 818 Braden Avenue, Chariton, IA 50049 | 2007-03-12 |
| 1417015595 | Rodney R Stream | Dentist | 934 N 7th Street, Chariton, IA 50049 | 2006-12-04 |
| 1497062558 | Peter Kenneth Hoftiezer | Family Medicine | 1200 N 7th St, Chariton, IA 50049 | 2010-09-09 |
| 1477648376 | Juanita Louise Durham | Nurse Practitioner | 1030 N 7th St, Chariton, IA 50049-1206 | 2006-10-04 |
| 1780665240 | Circle of Friends Home Care | Home Health | 1010 N 7th St, Chariton, IA 50049-1206 | 2005-11-10 |
| 1558847749 | Caregivers of Chariton, LLC | Home Health | 1010 N 7th St, Chariton, IA 50049-1206 | 2018-07-11 |
| 1447741483 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 1030 N 7th St, Chariton, IA 50049-1206 | 2018-05-25 |
| 1942516471 | Red Haw Family Medical Center, PC | Obstetrics & Gynecology | 1030 N 7th St, Chariton, IA 50049-1206 | 2010-08-21 |
| 1053520403 | Philip Dewain Sundquist | Family Medicine | 1030 N 7th St, Chariton, IA 50049-1206 | 2007-05-22 |
| Find all providers in zip 50049 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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.