PRAIRIE VIEW MANAGEMENT, INC. (NPI# 1104030378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104030378 |
| Entity Type | Organization |
| Organization Name | PRAIRIE VIEW MANAGEMENT, INC. |
| Practice Address |
18569 Lane Road Fayette IA 52142-9525 |
| Practice Telephone | 5634225606 |
| Practice Fax Number | 5634225607 |
| Mailing Telephone | 5634225606 |
| Mailing Fax Number | 5634225607 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANN BUNN (ADMINISTRATOR) |
| Authorized Official Telephone | 5634225606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 0748020 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0748020 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477634236 | Prairie View Management, Inc. | Custodial Care Facility | 18569 Lane Rd, Fayette, IA 52142-9525 | 2006-10-18 |
| 1609099811 | Prairie View Management, Inc. | Custodial Care Facility | 18569 Lane Rd, Fayette, IA 52142-9525 | 2007-04-10 |
| 1114140258 | Prairie View Management, Inc. | Nursing Facility/Intermediate Care Facility | 18569 Lane Rd, Fayette, IA 52142-9525 | 2007-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PRAIRIE VIEW MANAGEMENT, INC. | 18569 Lane Rd, Fayette, IA 52142 |
| Street Address |
18569 LANE ROAD |
| City | FAYETTE |
| State | IA |
| Zip Code | 52142-9525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306364997 | Kyle James Domin | Specialist/Technologist | 605 Washington Street, Fayette, IA 52142 | 2017-09-02 |
| 1114372752 | Ryan Scott Fonkert | Specialist/Technologist | 605 Washingtone Street, Fayette, IA 52142 | 2016-05-02 |
| 1487871273 | Total Builders | Durable Medical Equipment & Medical Supplies | 210 S. Main St., Box 698, Fayette, IA 52142 | 2007-04-20 |
| 1053366518 | Gundersen Clinic, Ltd. | Clinic/Center | 110 King Street, Fayette, IA 52142 | 2006-05-23 |
| 1811992548 | Steven W Greenwaldt | Physician Assistant | 110 King Street, Fayette, IA 52142-0157 | 2005-06-17 |
| 1649205469 | City of Fayette | Ambulance | 11 South Main, Fayette, IA 52142-0340 | 2006-07-11 |
| 1316044654 | Kirk A Abernathy | Chiropractor | 139 South Main Street, Fayette, IA 52142-0578 | 2006-09-20 |
| 1639444235 | Charming Smiles PC | Clinic/Center | 143 S Main St, Fayette, IA 52142-7701 | 2012-03-14 |
| 1902464415 | Takuya Suzuki | Specialist/Technologist | 400 Jones St, Fayette, IA 52142-9180 | 2019-05-30 |
| 1245857515 | Winneshiek Medical Center | Clinic/Center | 605 Washington St, Fayette, IA 52142-9206 | 2020-07-02 |
| Find all providers in zip 52142 | ||||
| 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] |
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| 1639117633 | Morningside of Fayette, L.p. | Assisted Living Facility | 404 25th St Nw, Fayette, AL 35555-1129 | 2006-06-02 |
| 1285688416 | Hank Ventures Inc. | Assisted Living Facility | 542 State Route Dd, Fayette, MO 65248-9658 | 2006-05-20 |
| 1801889811 | Colonial Manors of Fayette, Inc | Assisted Living Facility | 100 Bolger Dr, Fayette, IA 52142-9762 | 2005-08-24 |
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| 1356996177 | Abilit Holdings (hawthorne Crossing) LLC | Assisted Living Facility | 601 Hawthorne Crossing Dr Se, Bondurant, IA 50035-1376 | 2019-08-08 |
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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.