CENTERS FOR LONG TERM CARE OF IOWA, INC (NPI# 1568421550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568421550 |
| Entity Type | Organization |
| Organization Name | CENTERS FOR LONG TERM CARE OF IOWA, INC |
| Other Organization Name | CLC GRANGER |
| Practice Address |
2001 Kennedy St Granger IA 50109-9746 |
| Mailing Address |
Po Box 155635 Fort Worth TX 76155-0635 |
| Practice Telephone | 5159992588 |
| Practice Fax Number | 5159992442 |
| Mailing Telephone | 8173592000 |
| Mailing Fax Number | 8173592096 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GARY R TREBERT (CEO) |
| Authorized Official Telephone | 8173592000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0654285 | 05 |
| Other Name | Type Code |
|---|---|
| CLC Granger | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790745388 | Centers for Long Term Care of Iowa, Inc | Skilled Nursing Facility | 233 University Ave, Des Moines, IA 50314-3124 | 2006-03-27 |
| 1457310716 | Centers for Long Term Care of Iowa, Inc | Skilled Nursing Facility | 500 Valley Drive, Carroll, IA 51401 | 2006-03-23 |
| 1841259702 | Centers for Long Term Care of Iowa, Inc | Skilled Nursing Facility | 200 7th Ave Sw, Altoona, IA 50009-1630 | 2006-03-20 |
| Street Address |
2001 KENNEDY ST |
| City | GRANGER |
| State | IA |
| Zip Code | 50109-9746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851922389 | Opco Granger, Ia, LLC | Skilled Nursing Facility | 2001 Kennedy St, Granger, IA 50109-9746 | 2020-02-03 |
| 1912081241 | Pinnacle Health Facilities Xvii Lp | Skilled Nursing Facility | 2001 Kennedy St, Granger, IA 50109-9746 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427080662 | City of Granger | Ambulance | 1906 Main Street, Granger, IA 50109 | 2006-07-07 |
| 1861776114 | Janning Family Chiropractic, LLC | Chiropractor | 2208 Broadway St, Granger, IA 50109-4400 | 2011-10-05 |
| 1770864050 | Christopher Joseph Janning | Chiropractor | 2208 Broadway Street, Granger, IA 50109-4400 | 2011-08-31 |
| 1447688114 | Erickson Insurance | Supports Brokerage | 2206 Broadway St, 235, Granger, IA 50109-7716 | 2013-10-16 |
| 1659651115 | Gina Marie Diaz | Counselor | 10850 Nw 105th Ct, Granger, IA 50109-9630 | 2011-08-27 |
| 1326586249 | Abby Blacker | Nurse Practitioner | 10633 Nw 106th Ave, Granger, IA 50109-9775 | 2017-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184418 | Ashley Elizabeth Bontrager | Registered Nurse | 15040 Hunting Ridge Ct, Granger, IN 46530-9690 | 2020-11-07 |
| 1730788365 | Katherine Mavis Greene | Speech-Language Pathologist | 14234 Shoreline Dr, Granger, IN 46530-4849 | 2020-10-24 |
| 1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
| 1538776604 | Tonya Darlene Ross | Occupational Therapy Assistant | 11312 Anderson Lake Dr, Granger, IN 46530-7293 | 2020-09-23 |
| 1992311328 | Rci (wrs), LLC. | Clinic/Center | 12788 State Road 23, Granger, IN 46530-7893 | 2020-09-21 |
| 1073126504 | Emily Marie Shoupe | Student in an Organized Health Care Education/Training Program | 15342 Monterosa Dr, Granger, IN 46530-9494 | 2020-08-25 |
| 1831701044 | Tree of Life LLC | Clinic/Center | 311 Florence Ave, Granger, IN 46530-8049 | 2020-08-19 |
| 1780295956 | Danielle Brown | Physician Assistant | 10380 Adams Rd, Granger, IN 46530-8608 | 2020-08-12 |
| 1992320519 | Carrie Ann Dunnem | Pharmacy | 7355 Heritage Square Dr, Granger, IN 46530-5643 | 2020-06-09 |
| 1588286132 | Amanda Lynn Ponce De Leon | Physical Therapist | 12171 Covered Wagon Ct, Granger, IN 46530-7100 | 2020-05-16 |
| Find all providers in GRANGER | ||||
| 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 |
|---|---|---|---|---|
| 1164885372 | Major Hospital | Skilled Nursing Facility | 5805 N. Fir Rd., Granger, IN 46530-4750 | 2016-04-04 |
| 1780765131 | Granger Villa Inc | Skilled Nursing Facility | 800 N Commerce, Granger, TX 76530-0398 | 2006-10-18 |
| 1851922389 | Opco Granger, Ia, LLC | Skilled Nursing Facility | 2001 Kennedy St, Granger, IA 50109-9746 | 2020-02-03 |
| 1912081241 | Pinnacle Health Facilities Xvii Lp | Skilled Nursing Facility | 2001 Kennedy St, Granger, IA 50109-9746 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647165 | Ema Rehabilitation, LLC | Skilled Nursing Facility | 1831 E Kanesville Blvd, Council Bluffs, IA 51503-4767 | 2020-10-22 |
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1114547395 | Bvm-phs Senior Housing Inc | Skilled Nursing Facility | 1160 Carmel Dr, Dubuque, IA 52003-7911 | 2020-04-17 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1023679057 | Bcp Union Park, LLC | Skilled Nursing Facility | 2401 E 8th St, Des Moines, IA 50316-1717 | 2019-06-20 |
| 1639637143 | Wellspire LLC | Skilled Nursing Facility | 5508 Nw 88th St, Johnston, IA 50131-3005 | 2019-03-05 |
| 1356807101 | Accura Healthcare of Aurelia LLC | Skilled Nursing Facility | 401 W 5th St, Aurelia, IA 51005-7712 | 2019-02-18 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1255828919 | Brio of Johnston, LLC | Skilled Nursing Facility | 6901 Peckham St, Johnston, IA 50131-3143 | 2018-04-18 |
| 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.