CHAR MAC ASSISTED LIVING (NPI# 1164648572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164648572 |
| Entity Type | Organization |
| Organization Name | CHAR MAC ASSISTED LIVING |
| Practice Address |
200 E Char Mac Dr Lawton IA 51030-8171 |
| Practice Telephone | 7129444893 |
| Practice Fax Number | 7129444853 |
| Mailing Telephone | 7129444893 |
| Mailing Fax Number | 7129444853 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KIM LUZE (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7129444893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | S0074 | IA | Nursing & Custodial Care Facilities |
| Street Address |
200 E CHAR MAC DR |
| City | LAWTON |
| State | IA |
| Zip Code | 51030-8171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992270714 | Abilit Holdings (lawton), LLC | Assisted Living Facility | 200 E Char Mac Dr, Lawton, IA 51030-8171 | 2018-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417968843 | Lawton Ambulance | Ambulance | 104 W Maple, Lawton, IA 51030 | 2006-08-10 |
| 1497806145 | Lawton-bronson Community School | Local Education Agency (LEA) | 100 Tara Way, Lawton, IA 51030-0128 | 2007-01-16 |
| 1487289252 | Compass Counseling Services, LLC | Clinic/Center | 305 Tara Way, Lawton, IA 51030-1026 | 2020-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486750 | Charles Mcpherrin Russell | Pharmacist | 6301 Nw Quannah Parker Trl, Lawton, OK 73505-1326 | 2020-10-29 |
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1992303721 | Misty Watkins | Clinic/Center | 1601 Sw Parkridge Blvd Ste 200, Lawton, OK 73505-7564 | 2020-10-14 |
| 1043818065 | Shannon Bates | Case Manager/Care Coordinator | 3202 Se Footman Ln, Lawton, OK 73501-6340 | 2020-10-12 |
| 1619587946 | Chelsey S Kopaddy | Counselor | 1108 Nw Elm Ave, Lawton, OK 73507-4607 | 2020-08-02 |
| 1285243287 | Destiny Spirit Barreal | Respiratory Therapist, Registered | 1903 Nw Lake Ave, Lawton, OK 73507-6324 | 2020-07-24 |
| 1033727581 | Jennifer Baker, Lmft, LLC | Marriage & Family Therapist | 6425 Nw Cache Rd Ste 215, Lawton, OK 73505-3393 | 2020-07-21 |
| 1750999413 | Staci Y Williams | Nurse Practitioner | 5606 Sw Lee Blvd Ste 203, Lawton, OK 73505-9651 | 2020-07-20 |
| 1083222137 | Wichita Medical Anesthesia LLC | Nurse Anesthetist, Certified Registered | 3617 W Gore Blvd Ste C, Lawton, OK 73505-6373 | 2020-07-15 |
| 1801414628 | Kimberly Noelle Hanley | Nurse Practitioner | 4411 W Gore Blvd Ste A, Lawton, OK 73505-6016 | 2020-07-08 |
| Find all providers in LAWTON | ||||
| 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 |
|---|---|---|---|---|
| 1992270714 | Abilit Holdings (lawton), LLC | Assisted Living Facility | 200 E Char Mac Dr, Lawton, IA 51030-8171 | 2018-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739582 | Countryhouse Cedar Rapids LLC | Assisted Living Facility | 5710 Gibson Drive Ne, Cedar Rapids, IA 52411 | 2020-10-27 |
| 1912504366 | Algona Ia Assisted Living Facility LLC | Assisted Living Facility | 512 N Finn Dr, Algona, IA 50511-7228 | 2020-10-07 |
| 1295349207 | Keystone North Liberty, LLC | Assisted Living Facility | 1275 W Forevergreen Rd, North Liberty, IA 52317-8533 | 2020-09-08 |
| 1316557218 | Rock Valley Assisted Living LLC | Assisted Living Facility | 712 Westview Dr, Rock Valley, IA 51247-7619 | 2020-08-05 |
| 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 |
| 1881253151 | Hammond Center, LLC | Assisted Living Facility | 907 Orchard Dr, Grinnell, IA 50112-2075 | 2019-06-11 |
| Find all providers with the same taxonomy | ||||
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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.