MAYFLOWER HOMES, INC. (NPI# 1073717153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073717153 |
| Entity Type | Organization |
| Organization Name | MAYFLOWER HOMES, INC. |
| Practice Address |
616 Broad St Grinnell IA 50112-2298 |
| Practice Telephone | 6412366151 |
| Practice Fax Number | 6412366154 |
| Mailing Telephone | 6412366151 |
| Mailing Fax Number | 6412366154 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DENISE M. SMITH (FINANCIAL SECRETARY) |
| Authorized Official Telephone | 6412366151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | I-277 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0893347 | 05 | |
| IA | RCF & ELDERLY WAIVER PROV | 0204149 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972598498 | Mayflower Homes, Inc. | Nursing Facility/Intermediate Care Facility | 616 Broad St, Grinnell, IA 50112-2298 | 2005-09-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MAYFLOWER HOMES, INC. | 616 Broad St, Grinnell, IA 50112 |
| Street Address |
616 BROAD ST |
| City | GRINNELL |
| State | IA |
| Zip Code | 50112-2298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972598498 | Mayflower Homes, Inc. | Nursing Facility/Intermediate Care Facility | 616 Broad St, Grinnell, IA 50112-2298 | 2005-09-12 |
| 1023568821 | Edward Poush | Nursing Home Administrator | 616 Broad St, Grinnell, IA 50112-2298 | 2016-10-05 |
| 1487990677 | Key Rehabilitation,inc. | Psychologist | 616 Broad St, Grinnell, IA 50112-2298 | 2012-12-17 |
| 1356542674 | Rose Hendrickson | Physical Therapy Assistant | 616 Broad St, Grinnell, IA 50112-2298 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912451642 | Renfrow Senior Care | Internal Medicine | 120 W. St., Grinnell, IA 50112 | 2016-08-11 |
| 1114324605 | Grinnell Health Care Center, LLC | Skilled Nursing Facility | 415 S 6th Street, Grinnell, IA 50112 | 2014-11-26 |
| 1972907061 | Katie M Little | Counselor | 821 5th Ave Ste 401, Grinnell, IA 50112 | 2014-10-17 |
| 1366606287 | Kara Collings | Optometrist | 619 6th Ave, Grinnell, IA 50112 | 2008-07-10 |
| 1053510123 | Jennifer Davis | Speech-Language Pathologist | 79 Sixth Ave, Grinnell, IA 50112 | 2007-07-17 |
| 1306059506 | Grinnell Regional Medical Center, Inc | Anesthesiology | 210 Fourth Avenue, Grinnell, IA 50112 | 2007-05-07 |
| 1609906510 | Poweshiek County Case Management | Case Management | 120 W. Street, Grinnell, IA 50112 | 2007-03-07 |
| 1982756284 | The Grinnell Institute for Bone Health | Orthopaedic Surgery | 810 Commercial St., Grinnell, IA 50112 | 2007-01-17 |
| 1689771412 | Brandon L Davis | Psychologist | 200 4th Ave West, Grinnell, IA 50112 | 2006-09-20 |
| 1740240456 | Beth Mi Gallegos | Social Worker | 807 4th, Grinnell, IA 50112 | 2006-03-25 |
| Find all providers in zip 50112 | ||||
| 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 |
|---|---|---|---|---|
| 1881253151 | Hammond Center, LLC | Assisted Living Facility | 907 Orchard Dr, Grinnell, IA 50112-2075 | 2019-06-11 |
| 1144433244 | Grinnelle Iowa Assisted Living Facility LLC | Assisted Living Facility | 229 Pearl St, Grinnell, IA 50112-2593 | 2007-05-07 |
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| 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 |
| 1164089157 | Friendship Village Inc. | Assisted Living Facility | 312 Southbrooke Dr, Waterloo, IA 50702-5804 | 2019-05-24 |
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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.