SPIRIT LAKE SENIOR OPERATOR, LLC (NPI# 1740812072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740812072 |
| Entity Type | Organization |
| Organization Name | SPIRIT LAKE SENIOR OPERATOR, LLC |
| Other Organization Name | KEELSON HARBOUR SENIOR LIVING |
| Practice Address |
2810 Aurora Ave Spirit Lake IA 51360-7055 |
| Practice Telephone | 7123364501 |
| Practice Fax Number | 7123364509 |
| Mailing Telephone | 7123364501 |
| Mailing Fax Number | 7123364509 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | MELISSA SEWELL (ASSISTANT MANAGER) |
| Authorized Official Telephone | 7123364501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Keelson Harbour Senior Living | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SPIRIT LAKE SENIOR OPERATOR, LLC | 17550 Hemlock Avenue, Lakeville, MN 55044 |
| Street Address |
2810 AURORA AVE |
| City | SPIRIT LAKE |
| State | IA |
| Zip Code | 51360-7055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558904417 | Lakes Regional Healthcare | Clinic/Center | 2408 Zenith Avenue, Suite E, Spirit Lake, IA 51360 | 2019-10-23 |
| 1831758002 | Lakes Counseling Pllc | Social Worker | 507 18th Street Suite A, Spirit Lake, IA 51360 | 2019-06-11 |
| 1760979652 | Leah Anderson | Social Worker | 1401 Hill Ave, Spirit Lake, IA 51360 | 2018-04-17 |
| 1265891394 | Christensen - Bieri of Spirit Lake, D.d.s., P.C. | Dentist | 1724 Hill Ave, Suite 100, Spirit Lake, IA 51360 | 2016-02-17 |
| 1548532971 | Curtis Carl Fredrickson | Psychiatry & Neurology | 15535 Landings Ave., Spirit Lake, IA 51360 | 2012-02-01 |
| 1699076620 | Daniel Gigstad | Counselor | 3717 Keokuk Ave, Spirit Lake, IA 51360 | 2010-11-08 |
| 1841517448 | Jason Hamm Dcpc | Chiropractor | 1330 Lake St., Spirit Lake, IA 51360 | 2010-04-23 |
| 1811132822 | Russell Jon Sweet | Hearing Aid Equipment | 1040 Bridgewater Drive, Spirit Lake, IA 51360 | 2008-12-04 |
| 1609084193 | Audrey Ann Schoenthal | Marriage & Family Therapist | 1403 18th St., Spirit Lake, IA 51360 | 2007-05-18 |
| 1104987593 | Amy Erika Hartzell | Dentist | 1510 Hill Ave., Suite D, Spirit Lake, IA 51360 | 2006-12-12 |
| Find all providers in zip 51360 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063870152 | Kismet Spl - A, LLC | Assisted Living Facility | 1819 23rd St, Spirit Lake, IA 51360-7096 | 2016-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739582 | Countryhouse Cedar Rapids LLC | Assisted Living Facility | 5710 Gibson Drive Ne, Cedar Rapids, IA 52411 | 2020-10-27 |
| 1912504366 | Algona Ia Assisted Living Facility LLC | Assisted Living Facility | 512 N Finn Dr, Algona, IA 50511-7228 | 2020-10-07 |
| 1295349207 | Keystone North Liberty, LLC | Assisted Living Facility | 1275 W Forevergreen Rd, North Liberty, IA 52317-8533 | 2020-09-08 |
| 1316557218 | Rock Valley Assisted Living LLC | Assisted Living Facility | 712 Westview Dr, Rock Valley, IA 51247-7619 | 2020-08-05 |
| 1962011262 | Heartland Health Management, Inc. | Assisted Living Facility | 126 W Stonebrook Dr, Mount Pleasant, IA 52641-2686 | 2020-07-23 |
| 1972125003 | Arhc Phcrpia01 Trs, LLC | Assisted Living Facility | 2903 F Ave Nw, Cedar Rapids, IA 52405-2909 | 2020-05-12 |
| 1679112841 | Arhc Psindia01 Trs | Assisted Living Facility | 505 Enterprise Dr, Independence, IA 50644-9603 | 2020-01-05 |
| 1356996177 | Abilit Holdings (hawthorne Crossing) LLC | Assisted Living Facility | 601 Hawthorne Crossing Dr Se, Bondurant, IA 50035-1376 | 2019-08-08 |
| 1881253151 | Hammond Center, LLC | Assisted Living Facility | 907 Orchard Dr, Grinnell, IA 50112-2075 | 2019-06-11 |
| 1164089157 | Friendship Village Inc. | Assisted Living Facility | 312 Southbrooke Dr, Waterloo, IA 50702-5804 | 2019-05-24 |
| Find all providers with the same taxonomy | ||||
| City | SPIRIT LAKE |
| Zip Code | 51360 |
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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.