PRAIRIE VIEW MANAGEMENT, INC. (NPI# 1477634236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477634236 |
| Entity Type | Organization |
| Organization Name | PRAIRIE VIEW MANAGEMENT, INC. |
| Practice Address |
18569 Lane Rd Fayette IA 52142-9525 |
| Practice Telephone | 5634225606 |
| Practice Fax Number | 5634225607 |
| Mailing Telephone | 5634225606 |
| Mailing Fax Number | 5634225607 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANN BUNN (ADMINISTRATOR) |
| Authorized Official Telephone | 5634225606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | R-279 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0893800 | 05 | |
| IA | 1234484 | 05 | |
| IA | 0107847 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104030378 | Prairie View Management, Inc. | Assisted Living Facility | 18569 Lane Road, Fayette, IA 52142-9525 | 2007-05-09 |
| 1609099811 | Prairie View Management, Inc. | Custodial Care Facility | 18569 Lane Rd, Fayette, IA 52142-9525 | 2007-04-10 |
| 1114140258 | Prairie View Management, Inc. | Nursing Facility/Intermediate Care Facility | 18569 Lane Rd, Fayette, IA 52142-9525 | 2007-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PRAIRIE VIEW MANAGEMENT, INC. | 18569 Lane Rd, Fayette, IA 52142 |
| Street Address |
18569 LANE RD |
| City | FAYETTE |
| State | IA |
| Zip Code | 52142-9525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231955 | Laura Lane'e Van Horn | Counselor | 18569 Lane Rd, Fayette, IA 52142-9525 | 2020-06-26 |
| 1609099811 | Prairie View Management, Inc. | Custodial Care Facility | 18569 Lane Rd, Fayette, IA 52142-9525 | 2007-04-10 |
| 1114140258 | Prairie View Management, Inc. | Nursing Facility/Intermediate Care Facility | 18569 Lane Rd, Fayette, IA 52142-9525 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306364997 | Kyle James Domin | Specialist/Technologist | 605 Washington Street, Fayette, IA 52142 | 2017-09-02 |
| 1114372752 | Ryan Scott Fonkert | Specialist/Technologist | 605 Washingtone Street, Fayette, IA 52142 | 2016-05-02 |
| 1487871273 | Total Builders | Durable Medical Equipment & Medical Supplies | 210 S. Main St., Box 698, Fayette, IA 52142 | 2007-04-20 |
| 1053366518 | Gundersen Clinic, Ltd. | Clinic/Center | 110 King Street, Fayette, IA 52142 | 2006-05-23 |
| 1811992548 | Steven W Greenwaldt | Physician Assistant | 110 King Street, Fayette, IA 52142-0157 | 2005-06-17 |
| 1649205469 | City of Fayette | Ambulance | 11 South Main, Fayette, IA 52142-0340 | 2006-07-11 |
| 1316044654 | Kirk A Abernathy | Chiropractor | 139 South Main Street, Fayette, IA 52142-0578 | 2006-09-20 |
| 1639444235 | Charming Smiles PC | Clinic/Center | 143 S Main St, Fayette, IA 52142-7701 | 2012-03-14 |
| 1902464415 | Takuya Suzuki | Specialist/Technologist | 400 Jones St, Fayette, IA 52142-9180 | 2019-05-30 |
| 1245857515 | Winneshiek Medical Center | Clinic/Center | 605 Washington St, Fayette, IA 52142-9206 | 2020-07-02 |
| Find all providers in zip 52142 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013375310 | Lan Silver Pines LLC | Custodial Care Facility | 136 36th Ave Sw, Cedar Rapids, IA 52404-4638 | 2016-02-02 |
| 1093105975 | Shellsburg Associates | Custodial Care Facility | 401 Canton St Nw, Shellsburg, IA 52332-9624 | 2015-01-29 |
| 1760686067 | Mitchell County Care Facility | Custodial Care Facility | 3834 March Ave, Osage, IA 50461-8372 | 2007-06-12 |
| 1528261286 | Pursuit of Independence | Custodial Care Facility | 104 West Ohio, Lenox, IA 50851 | 2007-06-08 |
| 1538360151 | Morse Enterprises Inc | Custodial Care Facility | 2876 230th St, Sidney, IA 51652-6086 | 2007-05-30 |
| 1508996901 | Country Life Health Care Inc | Custodial Care Facility | 2554 Ford Ave, Oskaloosa, IA 52577-8850 | 2007-03-06 |
| 1992832356 | Insight Human Services | Custodial Care Facility | 915 South Iris Street, Suite 101, Mt Pleasant, IA 52641 | 2007-02-27 |
| 1588709976 | Country View Estates, Inc. | Custodial Care Facility | 2345 Redwood Ave, Guthrie Center, IA 50115-8888 | 2007-02-21 |
| 1760524763 | Community Memorial Health Center | Custodial Care Facility | 611 3rd St Ne, Hartley, IA 51346-1262 | 2007-02-13 |
| 1861534265 | Makee Manor Inc | Custodial Care Facility | 877 Highway 9, Waukon, IA 52172-7757 | 2007-02-13 |
| Find all providers with the same taxonomy | ||||
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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.