HOMESTEAD OF OSKALOOSA OPERATIONS LLC (NPI# 1891910881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891910881 |
| Entity Type | Organization |
| Organization Name | HOMESTEAD OF OSKALOOSA OPERATIONS LLC |
| Other Organization Name | MAPLE RIDGE ASSISTANT LIVING |
| Practice Address |
2102 South Market Street Oskaloosa IA 52577 |
| Mailing Address |
3715 Sw 29th Street Topeka KS 66614 |
| Practice Telephone | 6416721090 |
| Practice Fax Number | 6416721116 |
| Mailing Telephone | 7852721535 |
| Mailing Fax Number | 7852721480 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2011-11-10 |
| Authorized Official Name | MR. MIKE TRYON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7852287913 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | S0186 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0428839 | 05 |
| Other Name | Type Code |
|---|---|
| Maple Ridge Assistant Living | Doing Business As Name - Organization |
| Street Address |
2102 SOUTH MARKET STREET |
| City | OSKALOOSA |
| State | IA |
| Zip Code | 52577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245870781 | Arthur Zacharjasz | Nurse Practitioner | 1229 C Ave E, Oskaloosa, Ia 52577, Oskaloosa, IA 52577 | 2020-01-13 |
| 1306373089 | Kristal Williams | Counselor | 114 N. Market St., Oskaloosa, IA 52577 | 2017-05-12 |
| 1801345830 | Kristi Lyn Foster | Hearing Instrument Specialist | 714 A Ave West, Oskaloosa, IA 52577 | 2016-10-03 |
| 1972811198 | Crossroads of Pella | Community/Behavioral Health | 103 North 3rd Street, Oskaloosa, IA 52577 | 2010-09-22 |
| 1184809477 | Carli Raye Hahn | Psychologist | 814 2nd Ave East, Oskaloosa, IA 52577 | 2008-01-04 |
| 1982824173 | Laura Adam | Dentist | 2335 Hwy 92 E, Oskaloosa, IA 52577 | 2007-04-27 |
| 1194891374 | Karen Anne Spahr | Internal Medicine | 1203 A Ave East, Oskaloosa, IA 52577 | 2006-11-28 |
| 1376626648 | Wal-mart Stores, Inc. | Technician/Technologist | 2203 Avenue A West, Oskaloosa, IA 52577 | 2006-10-23 |
| 1003913229 | Heartland Home Care Inc | Home Health | 212 North Market Street, Oskaloosa, IA 52577 | 2006-09-20 |
| 1780645341 | Frank John Gorski | Nurse Anesthetist, Certified Registered | Mahaska Hospital, 1229 C Ave, Oskaloosa, IA 52577 | 2006-03-31 |
| Find all providers in zip 52577 | ||||
| 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 |
|---|---|---|---|---|
| 1386204881 | Committed Care | Assisted Living Facility | 508 Union St, Oskaloosa, KS 66066 | 2019-06-17 |
| 1053346619 | White Oak Estates Inc | Assisted Living Facility | 914 N 12th St, Oskaloosa, IA 52577-2416 | 2006-07-12 |
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| 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.