RISEN SON CHRISTIAN VILLAGE (NPI# 1134149529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134149529 |
| Entity Type | Organization |
| Organization Name | RISEN SON CHRISTIAN VILLAGE |
| Practice Address |
3000 Risen Son Blvd Council Bluffs IA 51503-1911 |
| Practice Telephone | 7123669655 |
| Practice Fax Number | 7123664748 |
| Mailing Telephone | 7123669655 |
| Mailing Fax Number | 7123664748 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SUSAN MCGHEE (CONTROLLER) |
| Authorized Official Telephone | 2177325175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 314000000X | Skilled Nursing Facility | 780641 | IA | Nursing & Custodial Care Facilities |
| X | 310400000X | Assisted Living Facility | 780641 | IA | Nursing & Custodial Care Facilities |
| X | 311500000X | Alzheimer Center (Dementia Center) | 780641 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0808592 | 05 | |
| IA | 0895557 | 05 | |
| IA | WELLMARK BC/BS | 65466 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | RISEN SON CHRISTIAN VILLAGE | 622 Emerson Road, Ste. 310, St. Louis, MO 63141 |
| Street Address |
3000 RISEN SON BLVD |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184245854 | Julia Middendorf Anderson | Speech-Language Pathologist | 3000 Risen Son Blvd, Council Bluffs, IA 51503-1911 | 2020-05-04 |
| 1720634041 | Joshua Probst | Physical Therapist | 3000 Risen Son Blvd, Council Bluffs, IA 51503-1911 | 2019-08-13 |
| 1942783451 | Riley Kay Maxwell | Occupational Therapist | 3000 Risen Son Blvd, Council Bluffs, IA 51503-1911 | 2018-09-11 |
| 1235480344 | Abbey Lynne Rickard | Physical Therapist | 3000 Risen Son Blvd, Council Bluffs, IA 51503-1911 | 2012-09-28 |
| 1467703041 | Kindred | Skilled Nursing Facility | 3000 Risen Son Blvd, Council Bluffs, IA 51503-1911 | 2012-09-24 |
| 1386951507 | Maria Michelle Medel | Occupational Therapist | 3000 Risen Son Blvd, Council Bluffs, IA 51503-1911 | 2010-09-09 |
| 1134379472 | Michelle Karmazin | Community Health Worker | 3000 Risen Son Blvd, Council Bluffs, IA 51503-1911 | 2008-09-23 |
| 1659528107 | Martha Louise Heitman | Physical Therapist | 3000 Risen Son Blvd, Council Bluffs, IA 51503-1911 | 2008-08-26 |
| 1972750958 | Doreen Diann James | Speech-Language Pathologist | 3000 Risen Son Blvd, Council Bluffs, IA 51503-1911 | 2008-08-21 |
| 1588820682 | Kevin C Johns | Physical Therapy Assistant | 3000 Risen Son Blvd, Council Bluffs, IA 51503-1911 | 2008-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| 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 |
|---|---|---|---|---|
| 1326647165 | Ema Rehabilitation, LLC | Skilled Nursing Facility | 1831 E Kanesville Blvd, Council Bluffs, IA 51503-4767 | 2020-10-22 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1750336806 | Five Star Quality Care Ia LLC | Skilled Nursing Facility | 34 Northcrest Dr, Council Bluffs, IA 51503-1622 | 2006-05-24 |
| 1275515405 | Signature Properties of Council Bluffs LLC | Skilled Nursing Facility | 1600 Mcpherson Ave, Council Bluffs, IA 51503-4858 | 2005-11-15 |
| 1003807280 | Bethany Lutheran Home | Skilled Nursing Facility | 7 Elliott St, Council Bluffs, IA 51503-0239 | 2005-11-04 |
| 1780686220 | Midlands Living Center, L.l.p. | Skilled Nursing Facility | 2452 N Broadway, Council Bluffs, IA 51503-0434 | 2005-08-15 |
| 1578808598 | Indian Hills Healthcare, Inc. | Skilled Nursing Facility | 1600 Mcpherson Ave, Council Bluffs, IA 51503-4858 | 2012-12-03 |
| 1467703041 | Kindred | Skilled Nursing Facility | 3000 Risen Son Blvd, Council Bluffs, IA 51503-1911 | 2012-09-24 |
| 1629397211 | Council Bluffs Senior Care, LLC | Skilled Nursing Facility | 1600 Mcpherson Ave, Council Bluffs, IA 51503-4858 | 2010-05-22 |
| 1679703052 | Nlc Partners, L.L.C. | Skilled Nursing Facility | 34 Northcrest Dr, Council Bluffs, IA 51503-1622 | 2009-07-21 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
Please comment or provide details below to improve the information on RISEN SON CHRISTIAN VILLAGE.
| 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.