EVANS MEMORIAL HOME


Address: 1004 N Elm St, Cresco, IA 52136-1097
Phone: 5635472580

EVANS MEMORIAL HOME (NPI# 1407073893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407073893
Entity Type Organization
Organization Name EVANS MEMORIAL HOME
Other Organization Name CRESCO ASSISTED LIVING
Practice Address 1004 N Elm St
Cresco
IA 52136-1097
Practice Telephone 5635472580
Practice Fax Number 5635475013
Mailing Telephone 5635472580
Mailing Fax Number 5635475013
Enumeration Date 2007-04-19
Last Update Date 2020-08-22
Authorized Official Name MR. DONALD L CHENSVOLD (MANAGER)
Authorized Official Telephone 3193628916
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility S0210 IA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IA 0461590 05

Other Provider/Organization Names

Other Name Type Code
Cresco Assisted Living Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1780801175 Evans Memorial Home Skilled Nursing Facility 1010 N Elm St, Cresco, IA 52136-1083 2007-04-19

Office Location

Street Address 1004 N ELM ST
City CRESCO
State IA
Zip Code 52136-1097

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700025053 Amy L Reis Dentist 1155 Canterbury St, Cresco, IA 52136 2009-02-10
1568405173 John Paul Gehling Chiropractor 407 7th Street Sw, Cresco, IA 52136 2006-06-13
1720367642 Mohit Chawla Family Medicine 321 8th Ave W, Regional Health Services of Howard County Dba Cresco Me, Cresco, IA 52136 2011-08-09
1912078692 Paul Colby Joslyn Chiropractor 221 W 2nd St, Cresco, IA 52136 2006-11-13
1912513797 Holly Ann Rasmusson Massage Therapist 806 3rd St W, Cresco, IA 52136-1053 2020-09-17
1639170103 Deborah Lathrop Family Medicine 235 8th Ave W, Cresco, IA 52136-1062 2005-08-09
1023649571 Amanda Powers Nurse Practitioner 235 8th Ave W, Cresco, IA 52136-1062 2020-02-03
1679925812 Staci Vrzak Nurse Practitioner 235 8th Ave W, Cresco, IA 52136-1062 2016-07-12
1043698160 Regional Health Services of Howard County Nurse Anesthetist, Certified Registered 235 8th Ave W, Cresco, IA 52136-1062 2015-05-08
1982001913 Regional Health Services of Howard County Pharmacy 235 8th Ave W, Cresco, IA 52136-1062 2014-11-19
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

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1962011262 Heartland Health Management, Inc. Assisted Living Facility 126 W Stonebrook Dr, Mount Pleasant, IA 52641-2686 2020-07-23
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1740812072 Spirit Lake Senior Operator, LLC Assisted Living Facility 2810 Aurora Ave, Spirit Lake, IA 51360-7055 2020-02-05
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Competitor

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City CRESCO
Zip Code 52136

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Dataset Information

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.

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