MADRID HOME FOR THE AGING (NPI# 1306806849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306806849 |
| Entity Type | Organization |
| Organization Name | MADRID HOME FOR THE AGING |
| Practice Address |
613 W North St Madrid IA 50156-1023 |
| Practice Telephone | 5157953007 |
| Practice Fax Number | 5157952138 |
| Mailing Telephone | 5157953007 |
| Mailing Fax Number | 5157952138 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | KRIS HANSEN (PRESIDENT/CEO) |
| Authorized Official Telephone | 5157953007 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 314000000X | Skilled Nursing Facility | 080797 | IA | Nursing & Custodial Care Facilities |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 080797 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0802371 | 05 | |
| IA | 0258863 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366516239 | Madrid Home for The Aging | Assisted Living Facility | 600 N Kennedy Ave, Madrid, IA 50156-7608 | 2006-11-20 |
| 1346312683 | Madrid Home for The Aging | Assisted Living Facility | 908 N Us Highway 69, Huxley, IA 50124-9764 | 2006-11-14 |
| 1790850915 | Madrid Home for The Aging | Durable Medical Equipment & Medical Supplies | 613 W North St, Madrid, IA 50156-1023 | 2006-11-22 |
| Street Address |
613 W NORTH ST |
| City | MADRID |
| State | IA |
| Zip Code | 50156-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790850915 | Madrid Home for The Aging | Durable Medical Equipment & Medical Supplies | 613 W North St, Madrid, IA 50156-1023 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891287447 | Lynzy Lentz | Physical Therapist | 209 W 2nd St, Madrid, IA 50156 | 2018-05-30 |
| 1508882705 | Madrid Family Practice Clinic | Clinic/Center | 623 W North St, Madrid, IA 50156-1023 | 2006-07-14 |
| 1982150298 | Joshua Chrisopulos | Physician Assistant | 623 W North St, Madrid, IA 50156-1023 | 2016-08-27 |
| 1477956886 | Melissa Hilsabeck | Nurse Practitioner | 623 W North St, Madrid, IA 50156-1023 | 2014-09-29 |
| 1255450169 | Kristine Lea Shaver | Physician Assistant | 623 W North St, Madrid, IA 50156-1023 | 2007-03-29 |
| 1598216095 | Madrid Community School District | Local Education Agency (LEA) | 201 N Main St, Madrid, IA 50156-1070 | 2016-10-19 |
| 1467705574 | Samantha Marie Sperling | Counselor | 110 Maple Ridge Dr, Madrid, IA 50156-1100 | 2012-10-26 |
| 1649886029 | Brianne Lee Wessels | Registered Nurse | 209 Maple Ridge Dr, Madrid, IA 50156-1160 | 2020-09-21 |
| 1750370425 | Paul Leroy Peters | Chiropractor | 201 W 2nd St, Madrid, IA 50156-1211 | 2005-10-17 |
| 1275029100 | Global Wellness Medical Clinic PC | Clinic/Center | 201 W 2nd St, Madrid, IA 50156-1211 | 2018-07-03 |
| Find all providers in zip 50156 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389346 | Perry Lutheran Home - Rowley Campus LLC | Nursing Facility/Intermediate Care Facility | 1300 28th St, Perry, IA 50220-2329 | 2020-09-01 |
| 1225546948 | Creekside, Inc | Nursing Facility/Intermediate Care Facility | 503 Wical Way, Grundy Center, IA 50638-0000 | 2018-01-16 |
| 1679920946 | Roy Gonzalez | Nursing Facility/Intermediate Care Facility | 40 Ridgeview Rd, Sioux City, IA 51104-4052 | 2016-05-17 |
| 1609241926 | Monica Wincentsen | Nursing Facility/Intermediate Care Facility | 122 Euclid Ave, Norway, IA 52318 | 2015-12-11 |
| 1003246000 | Keystone Nursing Care Center, Inc | Nursing Facility/Intermediate Care Facility | 280 5th St, Suite 2, Keystone, IA 52249-9533 | 2013-11-13 |
| 1346434826 | Shenandoah Enterprises LLC | Nursing Facility/Intermediate Care Facility | 1201 S Walnut St, Shenandoah, IA 51601-2176 | 2007-08-28 |
| 1952528424 | S.t.l. Care Company | Nursing Facility/Intermediate Care Facility | 1220 5th Ave Se, Cedar Rapids, IA 52403-4049 | 2007-04-19 |
| 1568686236 | Martin Health Center, Inc. | Nursing Facility/Intermediate Care Facility | 420 E 11th St, Cedar Falls, IA 50613-3364 | 2007-04-12 |
| 1548386675 | Longhouse-northshire, Ltd | Nursing Facility/Intermediate Care Facility | 711 W 11th St, Spencer, IA 51301-3237 | 2007-03-21 |
| 1083738132 | Spurgeon Manor, Inc. | Nursing Facility/Intermediate Care Facility | 1204 Linden St, Dallas Center, IA 50063-1052 | 2007-03-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MADRID HOME FOR THE AGING.
| 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.