SIGNATURE PROPERTIES OF WAUKEE, LLC


Address: 1645 Se Holiday Crest Circle, Waukee, IA 50263
Phone: 5159873625

SIGNATURE PROPERTIES OF WAUKEE, LLC (NPI# 1891915245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891915245
Entity Type Organization
Organization Name SIGNATURE PROPERTIES OF WAUKEE, LLC
Other Organization Name THE VILLAGE AT LEGACY POINTE NURSING FACILITY
Practice Address 1645 Se Holiday Crest Circle
Waukee
IA 50263
Mailing Address 8101 Birchwood Ct
Po Box 917
Johnston
IA 50131-2930
Practice Telephone 5159873625
Mailing Telephone 5157271770
Mailing Fax Number 5157271771
Enumeration Date 2007-04-26
Last Update Date 2008-06-27
Authorized Official Name MR. BRUCE HENRY MEHLHOP (PRESIDENT AND MANAGING MEMBER)
Authorized Official Telephone 5157271770
Authorized Official Credential MA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility IA Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
The Village at Legacy Pointe Nursing Facility Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities SIGNATURE PROPERTIES OF WAUKEE, LLC 8101 Birchwood Ct., Po Box 917, Johnston, IA 50131-0917

Office Location

Street Address 1645 SE HOLIDAY CREST CIRCLE
City WAUKEE
State IA
Zip Code 50263

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427618032 Blake Michael Louscher Dentist 2505 Se Encompass Drive, Waukee, IA 50263 2019-06-17
1407377344 Fusion Foot and Ankle, LLC Podiatrist 110 Us Hwy 6 Suite 80, Waukee, IA 50263 2017-06-30
1912317645 Jennifer Brezina Counselor 14225 University Ave Ste 120, Waukee, IA 50263 2014-05-02
1356782668 Hy Vee Inc Pharmacy 1005 East Hickman, Waukee, IA 50263 2013-07-15
1639414741 Erin Good Dietitian, Registered 1005 East Hickman Road, Waukee, IA 50263 2012-11-29
1407138084 Advantages In Life Inc In Home Supportive Care 670 Elm, Waukee, IA 50263 2011-09-09
1669601951 Deepika Verma Dentist 115 Se Telby Ln, Waukee, IA 50263 2009-07-07
1205046778 Lori Walton Speech-Language Pathologist 31805 Silverado Lane, Waukee, IA 50263 2007-05-23
1598818981 Oswald Family Chiropractic PC Chiropractor 450 Se University Ave, Waukee, IA 50263 2007-01-19
1245303015 Alyssa Leanne Subbert Physical Medicine & Rehabilitation 205 Ne Dartmoor Drive, Waukee, IA 50263 2006-11-17
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417199092 Waukee Senior Housing II, LLC Skilled Nursing Facility 1645 Se Holiday Crest Cir, Waukee, IA 50263-8409 2009-03-30
1538712203 Senior Living Waukee, LLC Skilled Nursing Facility 1645 Se Holiday Crest Cir, Waukee, IA 50263-8409 2019-07-22
1508115759 Senior Living Waukee, LLC Skilled Nursing Facility 1645 Se Holiday Crest Cir, Waukee, IA 50263-8409 2012-09-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326647165 Ema Rehabilitation, LLC Skilled Nursing Facility 1831 E Kanesville Blvd, Council Bluffs, IA 51503-4767 2020-10-22
1770198855 Wellspire-bettendorf LLC Skilled Nursing Facility 4699 53rd Ave, Bettendorf, IA 52722 2020-09-15
1114547395 Bvm-phs Senior Housing Inc Skilled Nursing Facility 1160 Carmel Dr, Dubuque, IA 52003-7911 2020-04-17
1659920320 Phs Walnut Ridge LLC Skilled Nursing Facility 1703 Campus Drive, Clive, IA 50325 2019-09-05
1992354666 Phs Council Bluffs, Inc Skilled Nursing Facility 16 Valley View Drive, Council Bluffs, IA 51503 2019-09-05
1023679057 Bcp Union Park, LLC Skilled Nursing Facility 2401 E 8th St, Des Moines, IA 50316-1717 2019-06-20
1639637143 Wellspire LLC Skilled Nursing Facility 5508 Nw 88th St, Johnston, IA 50131-3005 2019-03-05
1356807101 Accura Healthcare of Aurelia LLC Skilled Nursing Facility 401 W 5th St, Aurelia, IA 51005-7712 2019-02-18
1093286395 Ccrc of West Des Moines, LLC Skilled Nursing Facility 8950 Coachlight Drive, West Des Moines, IA 50266 2018-12-12
1255828919 Brio of Johnston, LLC Skilled Nursing Facility 6901 Peckham St, Johnston, IA 50131-3143 2018-04-18
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Competitor

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City WAUKEE
Zip Code 50263

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Dataset Information

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.

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