PINNACLE HEALTH FACILITIES XVII LP (NPI# 1093899312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093899312 |
Entity Type | Organization |
Organization Name | PINNACLE HEALTH FACILITIES XVII LP |
Other Organization Name | REGENCY PARK NURSING & REHABILITATION OF CARROLL |
Practice Address |
500 E Valley Dr Carroll IA 51401-3140 |
Mailing Address |
5420 W Plano Pkwy Plano TX 75093-4823 |
Practice Telephone | 7127929281 |
Practice Fax Number | 7127926750 |
Mailing Telephone | 9729313800 |
Mailing Fax Number | 9727676222 |
Enumeration Date | 2006-10-24 |
Last Update Date | 2012-11-29 |
Authorized Official Name | MRS. JAMIE LATTURE COLLIER (DIRECTOR OF REIMBURSEMENT) |
Authorized Official Telephone | 9729313800 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0809863 | 05 |
Other Name | Type Code |
---|---|
Regency Park Nursing & Rehabilitation of Carroll | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245699214 | Pinnacle Health Facilities Xvii Lp | Assisted Living Facility | 233 University Ave, Des Moines, IA 50314-3124 | 2016-02-18 |
1912081241 | Pinnacle Health Facilities Xvii Lp | Skilled Nursing Facility | 2001 Kennedy St, Granger, IA 50109-9746 | 2006-10-24 |
1356425698 | Pinnacle Health Facilities Xvii Lp | Skilled Nursing Facility | 1002 W Washington Ave, Polk City, IA 50226-2132 | 2006-10-24 |
1730263070 | Pinnacle Health Facilities Xvii Lp | Skilled Nursing Facility | 921 Sunset Dr, Norwalk, IA 50211-1425 | 2006-10-24 |
1518041854 | Pinnacle Health Facilities Xvii Lp | Skilled Nursing Facility | 100 Ram Dr, Jefferson, IA 50129-2728 | 2006-10-24 |
1184708430 | Pinnacle Health Facilities Xvii Lp | Skilled Nursing Facility | 233 University Ave, Des Moines, IA 50314-3124 | 2006-10-24 |
1023192341 | Pinnacle Health Facilities Xvii Lp | Skilled Nursing Facility | 200 7th Ave Sw, Altoona, IA 50009-1630 | 2006-10-24 |
Street Address |
500 E VALLEY DR |
City | CARROLL |
State | IA |
Zip Code | 51401-3140 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700417235 | Opco Carroll, Ia, LLC | Skilled Nursing Facility | 500 E Valley Dr, Carroll, IA 51401-3140 | 2020-02-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124625660 | Madison Hemer | Dietitian, Registered | 311 South Clark Street, Carroll, IA 51401 | 2020-10-07 |
1598397309 | Samantha Anne Ludwig | Pharmacist | 425 Highway 30 West, Suite 140, Carroll, IA 51401 | 2020-02-10 |
1265804082 | Katrina (tina) K Wederquist Zanders | Social Worker | 409 1/2 W 7th, Catholic Charities, Carroll, IA 51401 | 2015-10-21 |
1508127705 | Carly M. Quam | Family Medicine | 1241 S Grant Road, Carroll, IA 51401 | 2012-06-04 |
1033492517 | Daniel Michael G'sell | Pharmacist | 1214 S. Grant Rd., Carroll, IA 51401 | 2011-09-21 |
1356510317 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 2014 Kitty Hawk Ave, Carroll, IA 51401 | 2008-02-25 |
1902075153 | Banks Chiropractic Inc. | Chiropractor | 1420 Hwy. 71 North, Carroll, IA 51401 | 2008-02-21 |
1093994261 | Janelle Rae Brungardt | Occupational Therapy Assistant | 2241 Northwest Street, Carroll, IA 51401 | 2007-10-24 |
1871780197 | Assisted Living Concepts Inc | Assisted Living Facility | 1024 E 12th Street, Carroll, IA 51401 | 2007-10-01 |
1487865267 | Tthomas Charles Lehman | Pharmacist | 859 Highway 30 E, Carroll, IA 51401 | 2007-05-24 |
Find all providers in zip 51401 |
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 |
---|---|---|---|---|
1013088640 | Rockmill Care, LLC | Skilled Nursing Facility | 3680 Dolson Ct, Carroll, OH 43112-9721 | 2006-11-13 |
1457310716 | Centers for Long Term Care of Iowa, Inc | Skilled Nursing Facility | 500 Valley Drive, Carroll, IA 51401 | 2006-03-23 |
1588638860 | Mccorkle Investments Ltd. | Skilled Nursing Facility | 2241 N West St, Carroll, IA 51401-3607 | 2006-02-14 |
1700417235 | Opco Carroll, Ia, LLC | Skilled Nursing Facility | 500 E Valley Dr, Carroll, IA 51401-3140 | 2020-02-03 |
1396263745 | Accura Healthcare of Carroll | Skilled Nursing Facility | 2241 N West St, Carroll, IA 51401-3607 | 2017-09-06 |
1528466471 | Carroll Opco, LLC | Skilled Nursing Facility | 3680 Dolson Ct, Carroll, OH 43112-9721 | 2014-12-09 |
1407162563 | Hawkeye Care Center of Carroll | Skilled Nursing Facility | 2241 N West St, Carroll, IA 51401-3607 | 2010-08-27 |
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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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.