EVENTIDE


Address: 114 S 20th St, Denison, IA 51442-2251
Phone: 7122633114

EVENTIDE (NPI# 1417944265) 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) 1417944265
Entity Type Organization
Organization Name EVENTIDE
Other Organization Name EVENTIDE LUTHERAN HOME FOR THE AGED
Practice Address 114 S 20th St
Denison
IA 51442-2251
Practice Telephone 7122633114
Practice Fax Number 7122638819
Mailing Telephone 7122633114
Mailing Fax Number 7122638819
Enumeration Date 2005-10-05
Last Update Date 2013-10-17
Authorized Official Name MRS. MINDI RENAE BAKER (ADMINISTRATOR)
Authorized Official Telephone 7122633114
Authorized Official Credential NHA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 311Z00000X Custodial Care Facility 0890475 IA Nursing & Custodial Care Facilities
N 313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IA 0801217 05
IA 0890475 05

Other Provider/Organization Names

Other Name Type Code
Eventide Lutheran Home for the Aged Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1487705653 Eventide Assisted Living Facility 1405 7th St S, Moorhead, MN 56560-3444 2007-01-15
1942538608 Eventide Skilled Nursing Facility 125 13th Ave W, West Fargo, ND 58078-3356 2009-11-18

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Eventide 5 Manor House Rd, Littleton, CO 80127
Virginia Business Entities Eventide Aquaculture Inc. 3200 Pacific Ave Suite 100, Virginia Beach, Virginia 23451
Massachusetts Corporations EVENTIDE ARTS, INC. 713 Main St., Dennis, MA 02638
North Carolina Corporations Eventide Asset Management LLC One International Place Suite 3510, Boston, MA 02110
Colorado Business Entities Eventide Asset Management, LLC One International Place, Suite 3510, Boston, MA 02110
Oregon Corporations, Companies and Business Names EVENTIDE ASSET MANAGEMENT, LLC One International Place, Suite 3510, Boston, MA 02110
Washington State Corporations EVENTIDE ASSET MANAGEMENT, LLC 1 International Pl Ste 3510, Boston, MA 02110-2602
Washington State Corporations EVENTIDE CONSULTING LLC 7410 Venteian Way, Lake Clarke Shores, FL 33406
Massachusetts Corporations EVENTIDE ENTERPRISES, INC. 70 Marstons Ave., Hyannisport, MA 02647
Washington State Corporations EVENTIDE HEALTH PLLC 810 Sunday Dr, Friday Harbor, WA 98250-7300

Office Location

Street Address 114 S 20TH ST
City DENISON
State IA
Zip Code 51442-2251

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811355092 Lindsey Strock Speech-Language Pathologist 114 S 20th St, Denison, IA 51442-2251 2016-02-03
1871959577 Shannon Rassel Occupational Therapy Assistant 114 S 20th St, Denison, IA 51442-2251 2016-01-11
1245696012 Traci Preul Physical Therapy Assistant 114 S 20th St, Denison, IA 51442-2251 2016-01-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164891800 Danette Miller Physical Therapist 521 Ia-39, Denison, IA 51442 2015-09-23
1134476997 Qassim University Clinic/Center Qassim University, Dept of Family Medicine, Room 3061, Mulaidah, ALQASSIM 51442 2012-08-12
1730376054 Assisted Living Concepts Inc Assisted Living Facility 2506 3rd Avenue, North Denison, IA 51442 2007-10-01
1710184379 John Miller Speech-Language Pathologist 1202 12 Ave, Denison, IA 51442 2007-06-28
1538114350 Topko of Denison Inc Durable Medical Equipment & Medical Supplies 1401 Broadway, Denison, IA 51442 2006-05-23
1457305047 Crawford County Clinic PC Family Medicine 1820 Highway 30 East, Denison, IA 51442 2006-05-19
1013987320 Kathy Berens-brownmiller Physician Assistant 115 N 14th St, Denison, IA 51442 2006-01-26
1730522947 Elizabeth Jordan Ranniger Pediatrics 100 Medical Parkway, Denison, IA 51442 2013-04-08
1801093448 Kristi Marie Pottebaum Occupational Therapy Assistant 1202 Ridge Rd, Denison, IA 51442 2007-06-28
1740332667 Mosaic Intermediate Care Facility, Mentally Retarded 1402 Settlers Lane, Denison, IA 51442-0000 2007-01-18
Find all providers in zip 51442

Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871974998 Denison Long Term Care, LLC Skilled Nursing Facility 5600 Woodlands Trail, Denison, TX 75020-7365 2015-06-15
1023456621 Sonrisas Healthcare Services, LLC Skilled Nursing Facility 1001 N Armstrong Ave, Denison, TX 75020-2014 2013-06-05
1689906430 Pm Management - Denison Nc LLC Skilled Nursing Facility 1101 Reba Mcentire Ln, Denison, TX 75020-9059 2010-02-04
1205827029 Denison Care Center, Inc. Skilled Nursing Facility 1202 Ridge Rd, Denison, IA 51442-1165 2005-11-01
1700873296 Denison Nursing and Rehabilitation Lp Skilled Nursing Facility 601 E Us Highway 69, Denison, TX 75021-6510 2005-09-30
1558357871 Denison Health Care Center Ltd. Co Skilled Nursing Facility 3515 S Park Ave, Denison, TX 75020-7342 2005-09-22
1457345167 J-s Denison Operations, Lp Skilled Nursing Facility 1101 Reba Macentire Ln, Denison, TX 75020-9059 2005-09-08
1437159191 Senior Health Texoma LLC Skilled Nursing Facility 1300 Memorial Dr, Denison, TX 75020 2005-07-26
1396399010 Dallas County Hospital District Skilled Nursing Facility 3515 S Park Ave, Denison, TX 75020-7342 2019-07-31
1518323229 Premier Estates 503, LLC Skilled Nursing Facility 1202 Ridge Rd, Denison, IA 51442-1165 2016-01-11
Find all providers in DENISON

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City DENISON
Zip Code 51442

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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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