EAGLE POINT NURSING AND REHAB CENTER (NPI# 1063409464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063409464 |
Entity Type | Organization |
Organization Name | EAGLE POINT NURSING AND REHAB CENTER |
Practice Address |
801 28th Ave N Clinton IA 52732-1955 |
Practice Telephone | 5632436600 |
Practice Fax Number | 5632424400 |
Mailing Telephone | 5632436600 |
Mailing Fax Number | 5632424400 |
Enumeration Date | 2005-09-30 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. NANCY GABRIELSON (ADMINISTRATOR) |
Authorized Official Telephone | 5632436600 |
Authorized Official Credential | ED |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 230059 | IA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0809285 | 05 |
Street Address |
801 28TH AVE N |
City | CLINTON |
State | IA |
Zip Code | 52732-1955 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760957237 | Heidi Lynn Henderson | Speech-Language Pathologist | 801 28th Ave N, Clinton, IA 52732-1955 | 2018-10-10 |
1952889172 | Wojciech Andrzej Ryba | Physical Therapist | 801 28th Ave N, Clinton, IA 52732-1955 | 2018-07-31 |
1578049490 | Stephanie Jo Tague | Physical Therapy Assistant | 801 28th Ave N, Clinton, IA 52732-1955 | 2018-07-13 |
1619461092 | Trina Eads | Occupational Therapy Assistant | 801 28th Ave N, Clinton, IA 52732-1955 | 2018-06-19 |
1407393648 | Brett Herbeck | Speech-Language Pathologist | 801 28th Ave N, Clinton, IA 52732-1955 | 2017-01-26 |
1598208340 | Mis Eagle Point LLC | Skilled Nursing Facility | 801 28th Ave N, Clinton, IA 52732-1955 | 2016-11-28 |
1710153085 | Trisha Lynn Steddom | Occupational Therapist | 801 28th Ave N, Clinton, IA 52732-1955 | 2008-05-06 |
1750411815 | Covenant Care Midwest, Inc. | Skilled Nursing Facility | 801 28th Ave N, Clinton, IA 52732-1955 | 2007-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891343240 | Janet R Graf | Technician | 450 South 19th St., Clinton, IA 52732 | 2019-08-29 |
1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
1821528423 | Tricia Lee Grimes | Technician | 2349 Dunham St, Clinton, IA 52732 | 2017-06-15 |
1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
1275829921 | Rebecca Plante | Pharmacist | 1309 N 2nd Street, Clinton, IA 52732 | 2011-06-21 |
1639318363 | Ryan P Connell | Chiropractor | 1437 Main Ave, Clinton, IA 52732 | 2009-02-19 |
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Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053662437 | Skill Creations of Clinton | Nursing Facility/Intermediate Care Facility | 223 Forest Trail, Clinton, NC 28328-3353 | 2012-09-26 |
1861522336 | Mercy Medical Center-clinton, Inc. | Nursing Facility/Intermediate Care Facility | 600 14th Ave N, Clinton, IA 52732-2914 | 2007-03-06 |
1346378387 | Care Center of Clinton | Nursing Facility/Intermediate Care Facility | 1251 Pinehaven Rd, Clinton, MS 39056-3455 | 2007-03-01 |
1861488751 | Grace Nursing Home Inc | Nursing Facility/Intermediate Care Facility | 9725 Grace Ln, Clinton, LA 70722-4925 | 2005-09-26 |
1205018587 | Anderson County Health Department | Nursing Facility/Intermediate Care Facility | 710 N Main St, Suite D, Clinton, TN 37716-3143 | 2007-11-29 |
1134259674 | Mercy Medical Center-clinton, Inc. | Nursing Facility/Intermediate Care Facility | 638 S Bluff Blvd, Clinton, IA 52732-4742 | 2007-03-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699389346 | Perry Lutheran Home - Rowley Campus LLC | Nursing Facility/Intermediate Care Facility | 1300 28th St, Perry, IA 50220-2329 | 2020-09-01 |
1225546948 | Creekside, Inc | Nursing Facility/Intermediate Care Facility | 503 Wical Way, Grundy Center, IA 50638-0000 | 2018-01-16 |
1679920946 | Roy Gonzalez | Nursing Facility/Intermediate Care Facility | 40 Ridgeview Rd, Sioux City, IA 51104-4052 | 2016-05-17 |
1609241926 | Monica Wincentsen | Nursing Facility/Intermediate Care Facility | 122 Euclid Ave, Norway, IA 52318 | 2015-12-11 |
1003246000 | Keystone Nursing Care Center, Inc | Nursing Facility/Intermediate Care Facility | 280 5th St, Suite 2, Keystone, IA 52249-9533 | 2013-11-13 |
1346434826 | Shenandoah Enterprises LLC | Nursing Facility/Intermediate Care Facility | 1201 S Walnut St, Shenandoah, IA 51601-2176 | 2007-08-28 |
1952528424 | S.t.l. Care Company | Nursing Facility/Intermediate Care Facility | 1220 5th Ave Se, Cedar Rapids, IA 52403-4049 | 2007-04-19 |
1568686236 | Martin Health Center, Inc. | Nursing Facility/Intermediate Care Facility | 420 E 11th St, Cedar Falls, IA 50613-3364 | 2007-04-12 |
1548386675 | Longhouse-northshire, Ltd | Nursing Facility/Intermediate Care Facility | 711 W 11th St, Spencer, IA 51301-3237 | 2007-03-21 |
1083738132 | Spurgeon Manor, Inc. | Nursing Facility/Intermediate Care Facility | 1204 Linden St, Dallas Center, IA 50063-1052 | 2007-03-16 |
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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.