PRAIRIE VIEW MANAGEMENT, INC. (NPI# 1609099811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609099811 |
| 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 | 2007-04-10 |
| 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 | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
0234484 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | ARO | 0234484 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104030378 | Prairie View Management, Inc. | Assisted Living Facility | 18569 Lane Road, Fayette, IA 52142-9525 | 2007-05-09 |
| 1477634236 | Prairie View Management, Inc. | Custodial Care Facility | 18569 Lane Rd, Fayette, IA 52142-9525 | 2006-10-18 |
| 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 |
|---|---|---|---|---|
| 1477634236 | Prairie View Management, Inc. | Custodial Care Facility | 18569 Lane Rd, Fayette, IA 52142-9525 | 2006-10-18 |
| 1083231955 | Laura Lane'e Van Horn | Counselor | 18569 Lane Rd, Fayette, IA 52142-9525 | 2020-06-26 |
| 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 | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245226430 | Fayette Medical Center | Custodial Care Facility | 1653 Temple Ave N, Fayette, AL 35555-1314 | 2005-09-22 |
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|---|---|---|---|---|
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| 1790842615 | Keokuk Area Group Home | Custodial Care Facility | 317 High St, Keokuk, IA 52632-5939 | 2007-01-02 |
| 1063578359 | Gbgb Lc Dba Briarwood Care Center | Custodial Care Facility | 416 S Clark St, Maquoketa, IA 52060-3226 | 2006-12-29 |
| 1285797415 | Comprehensive Systems, Inc | Custodial Care Facility | 818 N 7th St, Osage, IA 50461-1360 | 2006-12-19 |
| 1679636740 | Comprehensive Systems, Inc. | Custodial Care Facility | 841 W Main St, New Hampton, IA 50659-1005 | 2006-12-19 |
| 1780747915 | Comprehensive Systems, Inc | Custodial Care Facility | 702 Elm Street, Elma, IA 50628 | 2006-12-19 |
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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.