EDINBURGH MANOR OF COMMUNITY CARE, INC. (NPI# 1063559524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063559524 |
| Entity Type | Organization |
| Organization Name | EDINBURGH MANOR OF COMMUNITY CARE, INC. |
| Practice Address |
13241 County Home Road E23 Scotch Grove IA 52310 |
| Mailing Address |
108 Industrial St De Witt IA 52742-2063 |
| Practice Telephone | 3194623875 |
| Practice Fax Number | 5634873623 |
| Mailing Telephone | 5636594100 |
| Mailing Fax Number | 5636591120 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BENJAMIN WRIGHT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5636594100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 530041 | IA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0896597 | 05 |
| Street Address |
13241 COUNTY HOME ROAD E23 |
| City | SCOTCH GROVE |
| State | IA |
| Zip Code | 52310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205058476 | Elizabeth Hannah Johnson | Counselor | 818 West First Street, Monticello, IA 52310 | 2007-05-03 |
| 1013044643 | Community Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 13241 County Home Road, E23, Scotch Grove, IA 52310 | 2007-02-28 |
| 1295888014 | Prescription Shoppe Inc | Pharmacy | 304 E 1st St, Monticello, IA 52310 | 2007-01-18 |
| 1760474290 | Peter James Kennedy | Chiropractor | 325 E 1st St, Monticello, IA 52310 | 2005-08-19 |
| 1083746978 | Community Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 13241 County Home Road, E23, Scotch Grove, IA 52310 | 2007-03-09 |
| 1518014034 | Kevin J Stingley | Dentist | 139 S Main, Suite A, Monticello, IA 52310-0167 | 2007-01-05 |
| 1760539480 | Monticello Community School District | Local Education Agency (LEA) | 711 N Maple St, Monticello, IA 52310-1038 | 2007-01-04 |
| 1013266188 | Back Home Chiropractic, LLC | Chiropractor | 818 W 1st St Ste 101, Monticello, IA 52310-1307 | 2012-09-05 |
| 1649279100 | Above & Beyond Home Health Care Inc | Hospice Care, Community Based | 818 W 1st St, Suite 301, Monticello, IA 52310-1307 | 2005-07-18 |
| 1528312311 | Tera Lynn Martin | Social Worker | 818 W 1st St, Ste 201, Monticello, IA 52310-1307 | 2012-11-01 |
| Find all providers in zip 52310 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750696852 | Community Neurorehab of Iowa | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3000 Sw 37th St, Des Moines, IA 50321-1330 | 2010-08-12 |
| 1437325693 | Nishna Productions, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 304 W Valley Ave, Shenandoah, IA 51601-1218 | 2008-05-07 |
| 1184890477 | Nishna Productions, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 100 E Oak St, Red Oak, IA 51566-1544 | 2008-05-06 |
| 1881890788 | Hope Haven Cottonwood | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 910 Cottonwood Ct Ste 1002, Burlington, IA 52601-1994 | 2007-06-26 |
| 1629293527 | Marion County Care Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1111 Newbold St, Knoxville, IA 50138-8605 | 2007-04-16 |
| 1407070808 | Country Care Center, Corp | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 725 Highway 59, Harlan, IA 51537-6709 | 2007-04-13 |
| 1144354614 | Hope Haven Area Development Center Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2205 Northern Dr, Burlington, IA 52601-2256 | 2007-03-15 |
| 1851425748 | Hope Haven Area Development Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2209 Northern Dr, Burlington, IA 52601-2256 | 2007-03-15 |
| 1598893406 | Systems Unlimited, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2553 Scott Blvd Se, Iowa City, IA 52240 | 2007-03-01 |
| 1841327673 | Crossroads of Western Iowa | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1 Crossroads Pl, Missouri Valley, IA 51555-6069 | 2007-02-28 |
| Find all providers with the same taxonomy | ||||
| City | SCOTCH GROVE |
| Zip Code | 52310 |
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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.