PENTACREST, INC. (NPI# 1730219262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730219262 |
| Entity Type | Organization |
| Organization Name | PENTACREST, INC. |
| Other Organization Name | PATHWAYS |
| Practice Address |
817 Pepperwood Ln Iowa City IA 52240-7005 |
| Mailing Address |
800 1st St Nw Cedar Rapids IA 52405-2713 |
| Practice Telephone | 3193396162 |
| Practice Fax Number | 3193396164 |
| Mailing Telephone | 3193983644 |
| Mailing Fax Number | 3193983937 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RENEE GRUMMER-MILLER (DIRECTOR OF HOME & COMM BASED SERV) |
| Authorized Official Telephone | 3193983644 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0137125 | 05 |
| Other Name | Type Code |
|---|---|
| Pathways | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629299672 | Pentacrest, Inc. | Clinic/Center | 817 Pepperwood Ln, Iowa City, IA 52240-7005 | 2007-05-01 |
| 1811027931 | Pentacrest, Inc. | Clinic/Center | 817 Pepperwood Ln, Iowa City, IA 52240-7005 | 2007-03-07 |
| Street Address |
817 PEPPERWOOD LN |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52240-7005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629299672 | Pentacrest, Inc. | Clinic/Center | 817 Pepperwood Ln, Iowa City, IA 52240-7005 | 2007-05-01 |
| 1811027931 | Pentacrest, Inc. | Clinic/Center | 817 Pepperwood Ln, Iowa City, IA 52240-7005 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215408703 | Huan-chung Scott Liu | Psychologist | 332 S Linn St Ste 14, Iowa City, IA 52240 | 2018-12-10 |
| 1124531579 | Amber Marie Wong | Counselor | 47 High Circle Drive, Iowa City, IA 52240 | 2017-11-08 |
| 1356852321 | Spencer Joseph Bohr | Specialist/Technologist | 314 S Governor St, Iowa City, IA 52240 | 2017-10-18 |
| 1992215651 | Kezia Jade Digioia | Student in an Organized Health Care Education/Training Program | 505 East Burlington St, Apt 7b, Iowa City, IA 52240 | 2017-10-09 |
| 1457879694 | Teleigha Teilon Lourell Starks | Specialist/Technologist | 629 South Johnson, 3, Iowa City, IA 52240 | 2017-09-08 |
| 1003213448 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 2415 Heinz Rd Ste 1, Iowa City, IA 52240 | 2014-12-01 |
| 1750701439 | County of Johnson | Public Health or Welfare | 855 S Dubuque, Suite 217, Iowa City, IA 52240 | 2014-04-22 |
| 1083045892 | Julie Louise Gallagher | Dietitian, Registered | 1720 Waterfront Drive, Iowa City, IA 52240 | 2013-12-04 |
| 1619314515 | Jade A Baxley | Physical Therapist | 1130 Scott Blvd., Ste. 1, Iowa City, IA 52240 | 2013-05-31 |
| 1629316062 | Shelter House Community Shelter and Transition Services | Community/Behavioral Health | 429 Southgate Ave, Iowa City, IA 52240 | 2013-01-18 |
| Find all providers in zip 52240 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629299672 | Pentacrest, Inc. | Clinic/Center | 817 Pepperwood Ln, Iowa City, IA 52240-7005 | 2007-05-01 |
| 1811027931 | Pentacrest, Inc. | Clinic/Center | 817 Pepperwood Ln, Iowa City, IA 52240-7005 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700239712 | Cozy Corner Adult Day Care | Clinic/Center | 2785 Pennsylvania Ave, Dubuque, IA 52001-5460 | 2016-07-14 |
| 1962673624 | Alzheimer's Association Big Sioux Chapter | Clinic/Center | 420 Chambers St, Sioux City, IA 51101-2126 | 2008-03-20 |
| 1871705046 | Salvation Army Adult Day Health Center | Clinic/Center | 221 19th St Sw, Suite B, Mason City, IA 50401-6655 | 2007-05-03 |
| 1780805713 | Mercy Medical Center Des Moines | Clinic/Center | 921 6th Ave, Des Moines, IA 50309-1222 | 2007-05-01 |
| 1043435993 | New Horizons Adult Day Center | Clinic/Center | 406 Sw School St, Suite 118, Ankeny, IA 50023-3000 | 2007-04-16 |
| 1356471635 | Aging Services | Clinic/Center | 1725 O Ave Nw, Cedar Rapids, IA 52405-1520 | 2007-03-06 |
| 1134271422 | Stonehill Franciscan Services | Clinic/Center | 3485 Windsor Ave, Dubuque, IA 52001-1329 | 2007-01-17 |
| 1407077464 | Aging Services | Clinic/Center | 1725 O Ave Nw, Cedar Rapids, IA 52405-1520 | 2007-05-01 |
| 1851421960 | Aging Services | Clinic/Center | 1725 O Ave Nw, Cedar Rapids, IA 52405-1520 | 2007-03-07 |
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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.