PEARL VALLEY REHABILITATION AND NURSING AT GOWRIE, LLC (NPI# 1235676065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235676065 |
| Entity Type | Organization |
| Organization Name | PEARL VALLEY REHABILITATION AND NURSING AT GOWRIE, LLC |
| Practice Address |
1808 Main St Gowrie IA 50543-7438 |
| Mailing Address |
1576 E 27th St Brooklyn NY 11229-1710 |
| Practice Telephone | 5153523912 |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |
| Authorized Official Name | MOSHE BRODT (OWNER MORE THAN 5 PERCENT INTEREST) |
| Authorized Official Telephone | 9173798074 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PEARL VALLEY REHABILITATION AND NURSING AT GOWRIE, LLC | 1808 Main St, Gowrie, IA 50543 |
| Street Address |
1808 MAIN ST |
| City | GOWRIE |
| State | IA |
| Zip Code | 50543-7438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003880782 | Gowrie Family Chiropractic Clinic PC | Chiropractor | 1004 Market St, Gowrie, IA 50543 | 2006-02-17 |
| 1154541316 | Southwest Webster Ambulance Service | Ambulance | 1006 Main Street, Gowrie, IA 50543 | 2007-04-27 |
| 1912971698 | Bruce Pudenz | Chiropractor | 1004 Market St, Gowrie, IA 50543 | 2006-02-17 |
| 1396756425 | Anne Elizabeth Arklie | Dentist | 1120 Market St, Gowrie, IA 50543-0061 | 2006-08-11 |
| 1689725582 | Rock Vision Clinic PC | Optometrist | 1800 Main St, Gowrie, IA 50543-0102 | 2007-01-16 |
| 1952390072 | Signature Properties of Gowrie, LLC | Skilled Nursing Facility | 1808 Main Street, Gowrie, IA 50543-7438 | 2005-10-20 |
| 1821600594 | Carrie Ann Goodwin | Nurse Practitioner | 1800 Main St, Gowrie, IA 50543-7438 | 2020-08-23 |
| 1780143016 | Pharma340 LLC | Pharmacy | 1800 Main St, Gowrie, IA 50543-7438 | 2019-03-16 |
| 1740677988 | Rhonda Gustafson | Pharmacist | 1800 Main St, Gowrie, IA 50543-7438 | 2015-04-24 |
| 1518129436 | Adam J Swisher | Family Medicine | 1800 Main St, Gowrie, IA 50543-7438 | 2008-07-01 |
| Find all providers in zip 50543 | ||||
| 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 |
|---|---|---|---|---|
| 1952390072 | Signature Properties of Gowrie, LLC | Skilled Nursing Facility | 1808 Main Street, Gowrie, IA 50543-7438 | 2005-10-20 |
| 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 |
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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.