EVENTIDE (NPI# 1417944265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0801217 | 05 | |
IA | 0890475 | 05 |
Other Name | Type Code |
---|---|
Eventide Lutheran Home for the Aged | Doing Business As Name - Organization |
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 |
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 |
Street Address |
114 S 20TH ST |
City | DENISON |
State | IA |
Zip Code | 51442-2251 |
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 |
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 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 |
---|---|---|---|---|
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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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.