PRAIRIE CREEK HEALTHCARE, INC. (NPI# 1184917148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184917148 |
| Entity Type | Organization |
| Organization Name | PRAIRIE CREEK HEALTHCARE, INC. |
| Other Organization Name | WEST BEND HEALTH AND REHABILITATION |
| Practice Address |
203 4th St Nw West Bend IA 50597-5114 |
| Practice Telephone | 5158874071 |
| Practice Fax Number | 5158873973 |
| Mailing Telephone | 5158874071 |
| Mailing Fax Number | 5158873973 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2014-10-14 |
| Authorized Official Name | MS. SOON BURNAM (TREASURER) |
| Authorized Official Telephone | 9495401249 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | IA | Nursing & Custodial Care Facilities | |
| Y | 314000000X | Skilled Nursing Facility | IA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| West Bend Health and Rehabilitation | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PRAIRIE CREEK HEALTHCARE, INC. | 29222 Rancho Viejo Rd. 127, San Juan Capistrano, CA 92675 |
| Street Address |
203 4TH ST NW |
| City | WEST BEND |
| State | IA |
| Zip Code | 50597-5114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780752923 | West Bend Care Center | Nursing Facility/Intermediate Care Facility | 203 4th St Nw, West Bend, IA 50597-5114 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972169282 | Hughes Pharmacy Services Inc. | Pharmacy | 105 South Broadway Avenue, West Bend, IA 50597 | 2019-05-13 |
| 1346214087 | Careage Management LLC | Skilled Nursing Facility | 203 4th St, West Bend, IA 50597 | 2006-02-16 |
| 1164434080 | Palo Alto County Hospital | Family Medicine | 107 Division St, West Bend, IA 50597-0000 | 2006-08-12 |
| 1649340605 | Jillian Jan Hansen | Chiropractor | 323 South Broadway, West Bend, IA 50597-0297 | 2006-11-08 |
| 1962572776 | Palo Alto County Hospital | Clinic/Center | 107 W Division St, West Bend, IA 50597-7738 | 2006-11-09 |
| 1144429119 | West Bend - Mallard Community School District | Local Education Agency (LEA) | 300 3rd Ave Sw, West Bend, IA 50597-8573 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639024 | Lyndsay Chapman | Nurse Practitioner | 836 W Badger Ln, West Bend, WI 53095-4502 | 2020-11-06 |
| 1073113841 | Spine Solutions of West Bend LLC | Clinic/Center | 1000 Gateway Ct Ste 200, West Bend, WI 53095-8541 | 2020-10-29 |
| 1013535491 | Debra Ann Martens Mcpherrin | Licensed Practical Nurse | 551 Rivershores Dr, West Bend, WI 53090-2531 | 2020-07-11 |
| 1649892977 | Jessica Street | Registered Nurse | 843 Eastern Ave Apt 14, West Bend, WI 53095-4834 | 2020-05-08 |
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1386263846 | Peggy Kaye | Registered Nurse | 1932 Woodlawn Ave, West Bend, WI 53090-1532 | 2020-04-14 |
| 1710506696 | Brittany N Berens | Student in an Organized Health Care Education/Training Program | 5793 W Lake Dr, West Bend, WI 53095-8447 | 2020-04-10 |
| 1821626268 | Brannon Zochert | Student in an Organized Health Care Education/Training Program | 3335 Rock Ridge Rd, West Bend, WI 53095-7600 | 2020-03-31 |
| 1215563291 | Kayla Janto | Student in an Organized Health Care Education/Training Program | 1145 Kinross Ct, West Bend, WI 53095-3825 | 2020-03-21 |
| 1659907392 | Michelle Monroe | Counselor | 601 Kohler Dr, West Bend, WI 53090-9036 | 2020-03-13 |
| Find all providers in WEST BEND | ||||
| 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 |
|---|---|---|---|---|
| 1346214087 | Careage Management LLC | Skilled Nursing Facility | 203 4th St, West Bend, IA 50597 | 2006-02-16 |
| 1376530626 | Samaritan Health Center Subacute Unit | Skilled Nursing Facility | 551 S Silverbrook Dr, West Bend, WI 53095-3868 | 2005-10-03 |
| 1457345795 | Washington County Wisconsin | Skilled Nursing Facility | 531 E Washington St, West Bend, WI 53095-2531 | 2005-09-01 |
| 1669513560 | Benevolent Corporation Cedar Community | Skilled Nursing Facility | 5595 County Road Z, West Bend, WI 53095-9224 | 2007-02-12 |
| 1750305520 | Washington County Wisconsin | Skilled Nursing Facility | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2006-07-26 |
| 1811997695 | Benevolent Corporation Cedar Community | Skilled Nursing Facility | 5595 County Road Z, West Bend, WI 53095-9224 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647165 | Ema Rehabilitation, LLC | Skilled Nursing Facility | 1831 E Kanesville Blvd, Council Bluffs, IA 51503-4767 | 2020-10-22 |
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1114547395 | Bvm-phs Senior Housing Inc | Skilled Nursing Facility | 1160 Carmel Dr, Dubuque, IA 52003-7911 | 2020-04-17 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1023679057 | Bcp Union Park, LLC | Skilled Nursing Facility | 2401 E 8th St, Des Moines, IA 50316-1717 | 2019-06-20 |
| 1639637143 | Wellspire LLC | Skilled Nursing Facility | 5508 Nw 88th St, Johnston, IA 50131-3005 | 2019-03-05 |
| 1356807101 | Accura Healthcare of Aurelia LLC | Skilled Nursing Facility | 401 W 5th St, Aurelia, IA 51005-7712 | 2019-02-18 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1255828919 | Brio of Johnston, LLC | Skilled Nursing Facility | 6901 Peckham St, Johnston, IA 50131-3143 | 2018-04-18 |
| 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.