FIVE STAR QUALITY CARE-IA INC (NPI# 1114972577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114972577 |
| Entity Type | Organization |
| Organization Name | FIVE STAR QUALITY CARE-IA INC |
| Other Organization Name | UNION PARK HEALTH SERVICES |
| Practice Address |
2401 East 8th Street Des Moines IA 50316-1717 |
| Practice Telephone | 5152629303 |
| Practice Fax Number | 5152622506 |
| Mailing Telephone | 5152629303 |
| Mailing Fax Number | 5152622506 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-03-26 |
| Authorized Official Name | KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6177968387 |
| Is Organization Subpart | Y |
| Parent Organization Name | FIVE STAR QUALITY CARE-IA INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 770799 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0805408 | 05 |
| Other Name | Type Code |
|---|---|
| Union Park Health Services | Doing Business As Name - Organization |
| Street Address |
2401 EAST 8TH STREET |
| City | DES MOINES |
| State | IA |
| Zip Code | 50316-1717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626320 | Restoration Behavioral Health Center, Inc. | Clinic/Center | 1235 Sampson Street, Des Moines, IA 50316 | 2020-10-12 |
| 1154928497 | Yeshua Reentry and Recovery Center Inc | Community Health Worker | 1235 Sampson St, Des Moines, IA 50316 | 2020-10-08 |
| 1639594484 | Tripti Kaul | Dentist | 1345 E. University Avenue, #302, Des Moines, IA 50316 | 2014-03-03 |
| 1184979023 | Ashley Marie Mundt | Physical Therapist | 710 Riverview Street, Des Moines, IA 50316 | 2012-07-17 |
| 1942562020 | Angela Maria Runkel | Nurse Practitioner | 1201 Penn Avenue, Penn Avenue Internal Medicine, Des Moines, IA 50316 | 2012-06-13 |
| 1821390121 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 2117 Dixon St, Des Moines, IA 50316 | 2010-11-19 |
| 1588838841 | Leenu Mishra | Psychiatry & Neurology | 700 East University Ave 3 West, Blank Childrens Psychiatry, Des Moines, IA 50316 | 2008-04-17 |
| 1477721686 | Kristin K Horning | Pharmacist | 840 East University Avenue, Des Moines, IA 50316 | 2008-02-11 |
| 1770695488 | Terrance O Kurtz | Internal Medicine | 2100 Dixon, Suite E Concentra Clinic, Des Moines, IA 50316 | 2006-08-31 |
| 1487281085 | Timothy Andrew Flynn | Behavioral Analyst | 1301 Pennsylvania Ave, Suite #305, Des Moines, IA 50316 | 2020-03-24 |
| Find all providers in zip 50316 | ||||
| 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 |
|---|---|---|---|---|
| 1023679057 | Bcp Union Park, LLC | Skilled Nursing Facility | 2401 E 8th St, Des Moines, IA 50316-1717 | 2019-06-20 |
| 1952471401 | Crystal Properties, Inc | Skilled Nursing Facility | 5608 Sw 9th St, Des Moines, IA 50315-5003 | 2006-11-09 |
| 1891876306 | Humangood Washington | Skilled Nursing Facility | 23600 Marine View Dr S, Des Moines, WA 98198 | 2006-10-18 |
| 1831209279 | Evangelical Retirement Homes, Inc. | Skilled Nursing Facility | 2571 Guthrie Ave, Des Moines, IA 50317-3019 | 2006-08-30 |
| 1790745388 | Centers for Long Term Care of Iowa, Inc | Skilled Nursing Facility | 233 University Ave, Des Moines, IA 50314-3124 | 2006-03-27 |
| 1508843947 | Wesley Retirement Services, Inc. | Skilled Nursing Facility | 3520 Grand Ave, Des Moines, IA 50312-4359 | 2005-12-28 |
| 1962493247 | Stafford Healthcare, Seatac, LLC | Skilled Nursing Facility | 2800 South 224th St, Des Moines, WA 98198-5132 | 2005-11-04 |
| 1447248372 | Calvin Community | Skilled Nursing Facility | 4210 Hickman Rd, Des Moines, IA 50310-3333 | 2005-10-13 |
| 1568450807 | Wesley Homes Des Moines LLC | Skilled Nursing Facility | 1122 S 216th St, Des Moines, WA 98198-8301 | 2005-10-11 |
| 1821090424 | Abcm Corporation | Skilled Nursing Facility | 701 Riverview St, Des Moines, IA 50316-2312 | 2005-08-12 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50316 |
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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.