APPLE VALLEY ASSISTED LIVING LLC. (NPI# 1508085879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508085879 |
| Entity Type | Organization |
| Organization Name | APPLE VALLEY ASSISTED LIVING LLC. |
| Practice Address |
405 27th Ave S Clear Lake IA 50428-4002 |
| Practice Telephone | 6413577083 |
| Practice Fax Number | 6413571512 |
| Mailing Telephone | 6413577083 |
| Mailing Fax Number | 6413571512 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. TERRI ANN COSSELMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 6413577083 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | S0166 | IA | Managed Care Organizations |
| Street Address |
405 27TH AVE S |
| City | CLEAR LAKE |
| State | IA |
| Zip Code | 50428-4002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396397709 | Megan Moore | Speech-Language Pathologist | 405 27th Ave S, Clear Lake, IA 50428-4012 | 2019-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912528266 | One Vision | Intermediate Care Facility, Mentally Retarded | 755 Pebblestone Lane, Garner, IA 50428 | 2020-04-28 |
| 1780228270 | Laura Lee Wilcke | Behavioral Analyst | 1020 Buddy Holly Place, Clear Lake, IA 50428 | 2019-10-29 |
| 1578120978 | Jon Secory | Pharmacist | 20 S. 4th St, Clear Lake, IA 50428 | 2019-05-22 |
| 1285109207 | Julie Livingston | Registered Nurse | Thrifty White Drug, 1907 Us Highway 18 East, Clear Lake, IA 50428 | 2018-10-05 |
| 1720580277 | Kelly Nieman | Nurse Practitioner | 1410 6th Ave South, Clear Lake, IA 50428 | 2018-03-01 |
| 1427439892 | Christopher Fischer | Physical Therapist | 7 S 8th St Ste C, Clear Lake, IA 50428 | 2015-06-11 |
| 1609114958 | Hasco Inc. | Pharmacy | 8 North 4th St, Clear Lake, IA 50428 | 2013-01-22 |
| 1295097970 | Alexander Macrae Harvin | Radiology | 5095 S Shore Dr, Clear Lake, IA 50428 | 2012-06-08 |
| 1679707947 | Integrative Medicine Consultants, Inc. | Physician Assistant | 507 Main Avenue, Clear Lake, IA 50428 | 2009-05-14 |
| 1326204686 | Anjali S. Henry | Pediatrics | 418 North Shore Drive, Clear Lake, IA 50428 | 2008-08-05 |
| Find all providers in zip 50428 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "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. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245563196 | Lisa Karen Dodge | Point of Service | 571 75th St, Clear Lake, WI 54005-3819 | 2009-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727324 | Julia Delores Alcantar | Point of Service | 201 Wall Ave, Des Moines, IA 50315-5161 | 2020-10-11 |
| 1871059576 | Iowa Harm Reduction Coalition | Point of Service | 1216 2nd Ave Se, Cedar Rapids, IA 52403-4002 | 2019-02-18 |
| 1720513013 | Ambermed, LLC | Point of Service | 414 Se 3rd St, Greenfield, IA 50849-1444 | 2017-04-25 |
| 1821450628 | Tiffin Chiropractic Center P.l.c. | Point of Service | 211 West Marengo Rd, Suite 2, Tiffin, IA 52340-0528 | 2016-03-22 |
| 1639553761 | Dalton Lee Hayes | Point of Service | 1616 S 15th St, Burlington, IA 52601-3744 | 2015-07-18 |
| 1629493283 | Eckerd | Point of Service | 701 Pierce St, Suite 405, Sioux City, IA 51101-1049 | 2014-02-19 |
| 1306001110 | Dental Care By The Square | Point of Service | 1051 West Madison Street, Washington, IA 52353 | 2008-07-21 |
| 1538374178 | Arlington Place of Grundy Center | Point of Service | 95 D Ave, Grundy Center, IA 50638-1950 | 2007-05-14 |
| 1609998137 | United Community Services, Inc. | Point of Service | 1300 Woodland Ave, West Des Moines, IA 50265-2306 | 2007-04-04 |
| 1568532075 | Leeds Pharmacy Inc. | Point of Service | 2729 Outer Dr N, Sioux City, IA 51104-1590 | 2006-11-09 |
| Find all providers with the same taxonomy | ||||
| City | CLEAR LAKE |
| Zip Code | 50428 |
Please comment or provide details below to improve the information on APPLE VALLEY ASSISTED LIVING LLC..
| 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.