PREMIER ESTATES 509, LLC (NPI# 1184080889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184080889 |
| Entity Type | Organization |
| Organization Name | PREMIER ESTATES 509, LLC |
| Other Organization Name | GARDEN VIEW CARE CENTER |
| Practice Address |
1200 W Nishna Rd Shenandoah IA 51601-2116 |
| Mailing Address |
5115 E State Road 64 Bradenton FL 34208-5509 |
| Practice Telephone | 7122464515 |
| Practice Fax Number | 7122465085 |
| Mailing Telephone | 9417584745 |
| Mailing Fax Number | 9417512135 |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-05-13 |
| Authorized Official Name | JAMIE CULP (CONTROLLER) |
| Authorized Official Telephone | 9417584745 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 730056 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0800174 | 05 |
| Other Name | Type Code |
|---|---|
| Garden View Care Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PREMIER ESTATES 509, LLC | 5115 East State Road 64, Bradenton, FL 64208 |
| Street Address |
1200 W NISHNA RD |
| City | SHENANDOAH |
| State | IA |
| Zip Code | 51601-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780664789 | Garden View Care Center, Inc. | Skilled Nursing Facility | 1200 W Nishna Rd, Shenandoah, IA 51601-2116 | 2006-01-18 |
| 1174988133 | Megan Stuhr | Physical Therapy Assistant | 1200 W Nishna Rd, Shenandoah, IA 51601-2116 | 2015-12-17 |
| 1215264726 | Shenandoah Care Center, LLC | Skilled Nursing Facility | 1200 W Nishna Rd, Shenandoah, IA 51601-2116 | 2009-11-05 |
| 1891934683 | Elizabeth Anne Busekist Lord Feil | Skilled Nursing Facility | 1200 W Nishna Rd, Shenandoah, IA 51601-2116 | 2009-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336589969 | Jenifer Ann Deziel | Nurse Practitioner | Shenandoah Medical Center, 300 Pershing Avenue, Shenandoah, IA 51601 | 2013-06-27 |
| 1154621282 | Md West One, PC | Neurological Surgery | 1 Jack Foster Drive, Shenandoah, IA 51601 | 2010-10-22 |
| 1912119124 | Swfac Plc | Podiatrist | 813 Church St., Shenandoah, IA 51601 | 2007-05-03 |
| 1134246895 | David Carroll Dickson | Pedorthist | 612 W. Sheridan Avenue, Shenandoah, IA 51601 | 2007-03-26 |
| 1558433037 | Joseph Patrick Emge | Dentist | 301 Maple St, Suite 3, Shenandoah, IA 51601 | 2006-11-14 |
| 1487766309 | Scott Richard King | Obstetrics & Gynecology | 300 Pershing Avenue, Shenandoah, IA 51601 | 2006-08-31 |
| 1801904933 | Marvin E Belknap | Dentist | 617 West Thomas, Shenandoah, IA 51601 | 2006-08-28 |
| 1083687636 | Charles J Peterson Dc PC | Chiropractor | 1203 W Sheridan Ave, Shenandoah, IA 51601 | 2006-02-13 |
| 1467692152 | Carol A Stehlik | Nutritionist | 300 Pershing Avenue, Shenandoah, IA 51601-0382 | 2009-02-20 |
| 1265526248 | Nishna Productions, Inc. | Community/Behavioral Health | 902 Day St, Shenandoah, IA 51601-1106 | 2006-10-03 |
| Find all providers in zip 51601 | ||||
| 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 |
|---|---|---|---|---|
| 1386872885 | Genesis | Skilled Nursing Facility | 124 Schuylkill Ave, Shenandoah, PA 17976-1337 | 2009-06-24 |
| 1730139460 | Trinity Mission of Shenandoah Heights, LLC | Skilled Nursing Facility | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2006-05-11 |
| 1780664789 | Garden View Care Center, Inc. | Skilled Nursing Facility | 1200 W Nishna Rd, Shenandoah, IA 51601-2116 | 2006-01-18 |
| 1497757710 | Smnrc, Lp | Skilled Nursing Facility | 101 E Washington St, Shenandoah, PA 17976-1701 | 2005-06-01 |
| 1902404569 | Shenandoah Heights Healthcare LLC | Skilled Nursing Facility | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2020-10-15 |
| 1629695416 | Accura Healthcare of Shenandoah | Skilled Nursing Facility | 1203 S Elm St, Shenandoah, IA 51601-2221 | 2020-06-29 |
| 1124484241 | Ridgeview Operations LLC | Skilled Nursing Facility | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2016-01-05 |
| 1740588094 | Ridgeview Healthcare & Rehab Center LLC | Skilled Nursing Facility | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2011-03-10 |
| 1215264726 | Shenandoah Care Center, LLC | Skilled Nursing Facility | 1200 W Nishna Rd, Shenandoah, IA 51601-2116 | 2009-11-05 |
| 1891934683 | Elizabeth Anne Busekist Lord Feil | Skilled Nursing Facility | 1200 W Nishna Rd, Shenandoah, IA 51601-2116 | 2009-02-18 |
| Find all providers in SHENANDOAH | ||||
| City | SHENANDOAH |
| Zip Code | 51601 |
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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.