THE AMBASSADOR SIDNEY, INC. (NPI# 1902811276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902811276 |
| Entity Type | Organization |
| Organization Name | THE AMBASSADOR SIDNEY, INC. |
| Other Organization Name | THE AMBASSADOR SIDNEY |
| Practice Address |
115 Main St Sidney IA 51652-6069 |
| Practice Telephone | 7123742693 |
| Practice Fax Number | 7123743064 |
| Mailing Telephone | 7123742693 |
| Mailing Fax Number | 7123743064 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2014-07-08 |
| Authorized Official Name | MS. MARCIA SCHROEDER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4028738507 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 360156 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 360156 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 360156 | IA | Speech, Language and Hearing Service Providers |
| Y | 314000000X | Skilled Nursing Facility | 360156 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0809640 | 05 | |
| IA | WELLMARK BLUE CROSS & BLUE SHIELD | 165474 | 01 |
| Other Name | Type Code |
|---|---|
| The Ambassador Sidney | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | THE AMBASSADOR SIDNEY, INC. | The Ambassador Holding Company, P O Box 640, Nebraska City, NE 68410 |
| Street Address |
115 MAIN ST |
| City | SIDNEY |
| State | IA |
| Zip Code | 51652-6069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427570902 | Katrina Marie-ybay Lerette | Occupational Therapist | 115 Main St, Sidney, IA 51652-6069 | 2017-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992906366 | Faith In Action Volunteers, Inc. | Taxi | 1003 Indiana St., Sidney, IA 51652 | 2007-05-31 |
| 1972643914 | Consultant Pharmacists Inc | Durable Medical Equipment & Medical Supplies | 714 Illinois Street, Sidney, IA 51652 | 2007-02-07 |
| 1265582589 | Fremont County Community Services | Case Manager/Care Coordinator | 414 Clay, Sidney, IA 51652 | 2007-01-11 |
| 1801964739 | David M Dettman | Dentist | 804 Illinois Street, Sidney, IA 51652 | 2006-11-30 |
| 1659395275 | Sidney Csd | Local Education Agency (LEA) | 2754 Knox Rd, Sidney, IA 51652 | 2006-07-27 |
| 1356690887 | Melissa Spencer Marshall | Nurse Practitioner | 802 Illinois St, Sidney, IA 51652 | 2012-08-30 |
| 1871566265 | Medical Clinic P.C. | Family Medicine | 313 Main St, Sidney, IA 51652 | 2006-02-08 |
| 1700941648 | Shenandoah Medical Center | Clinic/Center | 802 Illinois St, Sidney, IA 51652-0217 | 2006-12-22 |
| 1891137436 | Americare Support Services | Assisted Living Facility | 2009 320th Ave, Sidney, IA 51652-6059 | 2013-07-24 |
| 1538360151 | Morse Enterprises Inc | Custodial Care Facility | 2876 230th St, Sidney, IA 51652-6086 | 2007-05-30 |
| Find all providers in zip 51652 | ||||
| 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 |
|---|---|---|---|---|
| 1528475001 | D Clark | Skilled Nursing Facility | 1412 Garfield Ave, Sidney, OH 45365-1726 | 2014-07-17 |
| 1376690461 | Shelby County Ohio | Skilled Nursing Facility | 2901 Fair Rd, Sidney, OH 45365-9534 | 2007-01-04 |
| 1760434179 | Ggnsc Sidney LLC | Skilled Nursing Facility | 1435 Toledo St, Sidney, NE 69162-2166 | 2006-05-16 |
| 1073588141 | Pavilion Care Center LLC | Skilled Nursing Facility | 705 Fulton St, Sidney, OH 45365-3203 | 2006-02-21 |
| 1154305332 | Chs - Miami Valley, Inc | Skilled Nursing Facility | 510 Buckeye Ave, Sidney, OH 45365-1214 | 2005-12-01 |
| 1760478952 | Ohio Living Communities | Skilled Nursing Facility | 3003 Cisco Rd, Sidney, OH 45365-9343 | 2005-09-22 |
| 1144799263 | Fhs Sidney, Inc. | Skilled Nursing Facility | 510 Buckeye Ave, Sidney, OH 45365-1214 | 2018-11-19 |
| 1811488612 | Sidney Snf, Inc | Skilled Nursing Facility | 705 Fulton St, Sidney, OH 45365-3203 | 2018-05-29 |
| 1114301371 | Pv Snf LLC | Skilled Nursing Facility | 705 Fulton St, Sidney, OH 45365-3203 | 2015-07-16 |
| 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 |
| 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.