HOMESTEAD OF CRESTON OPERATIONS LLC (NPI# 1578735452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578735452 |
Entity Type | Organization |
Organization Name | HOMESTEAD OF CRESTON OPERATIONS LLC |
Other Organization Name | PRAIRIE VIEW ASSISTANT LIVING |
Practice Address |
1709 West Prairie Street Creston IA 50801 |
Mailing Address |
3715 Sw 29th Street Topeka KS 66614 |
Practice Telephone | 6417823131 |
Practice Fax Number | 6417823176 |
Mailing Telephone | 7852721535 |
Mailing Fax Number | 7852721480 |
Enumeration Date | 2008-03-31 |
Last Update Date | 2011-11-10 |
Authorized Official Name | MR. MIKE TRYON (CHIEF FINANCE OFFICER) |
Authorized Official Telephone | 7852287913 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | S0270 | IA | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Prairie View Assistant Living | Doing Business As Name - Organization |
Street Address |
1709 WEST PRAIRIE STREET |
City | CRESTON |
State | IA |
Zip Code | 50801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053694802 | Crossroads Behavioral Health Center | Clinic/Center | 1003 Cottonwood St., Creston, IA 50801 | 2011-09-27 |
1194937391 | Swfac Plc | Podiatrist | 1610 W Townline, Creston, IA 50801 | 2007-05-03 |
1013137264 | Virginia W Lents | Dietitian, Registered | 1700 W Townline, Creston, IA 50801 | 2007-04-30 |
1356411219 | Steven Kent Tilley | Dentist | 304 West Lucas, Creston, IA 50801 | 2006-11-08 |
1598859696 | Dennis R Hopkins | Chiropractor | 905 W. Townline St., Creston, IA 50801 | 2006-10-03 |
1922011139 | Theresa R Bensky | Social Worker | 900 W Montgomery St, Creston, IA 50801 | 2006-08-15 |
1164487872 | Area Xiv Agency On Aging | Home Delivered Meals | 215 Montgomery St, Creston, IA 50801 | 2006-04-18 |
1578531877 | Crossroads Behavioral Health Services | Counselor | 1003 Cottonwood Rd, Creston, IA 50801 | 2006-03-10 |
1972540011 | James D Gerdes | Family Medicine | 1610 W Townline St, Creston, IA 50801 | 2006-05-31 |
1225098312 | Ronald Richard Rice | Counselor | 1003 Cottonwood Rd, Creston, IA 50801 | 2006-03-24 |
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Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
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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.