PRAIRIE HILLS MANAGEMENT LLC (NPI# 1760698039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760698039 |
| Entity Type | Organization |
| Organization Name | PRAIRIE HILLS MANAGEMENT LLC |
| Practice Address |
505 Enterprise Dr Sw Independence IA 50644-9603 |
| Mailing Address |
500 N 3rd St Suite 206 Fairfield IA 52556-2485 |
| Practice Telephone | 3193342000 |
| Practice Fax Number | 3193343015 |
| Mailing Telephone | 6414720518 |
| Mailing Fax Number | 6414720817 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TIMOTHY R HILDEBRANDT (OWNER) |
| Authorized Official Telephone | 6414720518 |
| Authorized Official Credential | MANAGING MEMBER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0483594 | 05 |
| Street Address |
505 ENTERPRISE DR SW |
| City | INDEPENDENCE |
| State | IA |
| Zip Code | 50644-9603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476959 | Diane Meyer | Occupational Therapist | 230 Swan Lake Blvd, Suite 103, Independence, IA 50644 | 2020-01-10 |
| 1538717988 | Kathy Ann Allsup | Technician | 2617 Quasqueton Diag Blvd. #4, Independence, IA 50644 | 2019-08-29 |
| 1619182219 | Robert Thomas Kingus | Optometrist | 1310 1st St West, Independence, IA 50644 | 2007-05-14 |
| 1477646966 | Matthew Patrick Fuelling | Chiropractor | 231 2nd Ave N.e., Independence, IA 50644 | 2006-10-02 |
| 1104889609 | Sharla Kaye Wall | Chiropractor | 701 2nd Ave Ne, Independence, IA 50644 | 2006-04-07 |
| 1174053821 | Megan Rose Trembly | Speech-Language Pathologist | 1610 3rd St Ne, Independence, IA 50644 | 2017-06-15 |
| 1710432786 | Lauren Oldag | Social Worker | 2300 Swan Lake Blvd Ste 102, Independence, IA 50644 | 2016-08-19 |
| 1255781068 | Bradley Boyle | Optometrist | 1310 1st St W, Independence, IA 50644 | 2016-06-13 |
| 1528372968 | Thomas William Magner | Counselor | 417 5th St Nw, Independence, IA 50644-1554 | 2010-07-27 |
| 1093019796 | Linda Lee Moore | Community Health Worker | 1717 3rd St. N.e., Independence, IA 50644-1717 | 2011-01-10 |
| Find all providers in zip 50644 | ||||
| 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 |
|---|---|---|---|---|
| 1679112841 | Arhc Psindia01 Trs | Assisted Living Facility | 505 Enterprise Dr, Independence, IA 50644-9603 | 2020-01-05 |
| 1760679625 | Independence Operations LLC | Assisted Living Facility | 3980 S. Jackson Dr., Independence, MO 64057-1706 | 2007-09-25 |
| 1366633455 | Wood Oaks Inc. | Assisted Living Facility | 1804 S Sterling Ave, Independence, MO 64052-3845 | 2007-08-05 |
| 1184757098 | Eagle Estates Inc. | Assisted Living Facility | 1354 Taylor Rd, Independence, KS 67301-5400 | 2007-03-13 |
| 1750442026 | Blue Hills Rest Home Inc. | Assisted Living Facility | 2207 N Blue Mills Rd, Independence, MO 64058-2022 | 2006-12-12 |
| 1265509061 | Regency Manor LLC | Assisted Living Facility | 11725 Madison Pike, Independence, KY 41051 | 2006-11-29 |
| 1942638051 | Medicalodges, Inc. | Assisted Living Facility | 621 S 2nd St, Independence, KS 67301-4311 | 2013-10-29 |
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|---|---|---|---|---|
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| 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 |
| 1740812072 | Spirit Lake Senior Operator, LLC | Assisted Living Facility | 2810 Aurora Ave, Spirit Lake, IA 51360-7055 | 2020-02-05 |
| 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 | INDEPENDENCE |
| Zip Code | 50644 |
Please comment or provide details below to improve the information on PRAIRIE HILLS MANAGEMENT LLC.
| 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.