WEST BEND CARE CENTER (NPI# 1780752923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780752923 |
| Entity Type | Organization |
| Organization Name | WEST BEND CARE CENTER |
| Practice Address |
203 4th St Nw West Bend IA 50597-5114 |
| Mailing Address |
1512 Pierce St Sioux City IA 51105-1246 |
| Practice Telephone | 5158874071 |
| Practice Fax Number | 5158873973 |
| Mailing Telephone | 7122930117 |
| Mailing Fax Number | 7122930356 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DANIEL MYERS (PRESIDENT) |
| Authorized Official Telephone | 7122930117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 740851 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BCBS IA | 65444 | 01 |
| IA | MIDLANDS CHOICE PPO | F250511 | 01 |
| IA | 0805275 | 05 |
| Street Address |
203 4TH ST NW |
| City | WEST BEND |
| State | IA |
| Zip Code | 50597-5114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184917148 | Prairie Creek Healthcare, Inc. | Assisted Living Facility | 203 4th St Nw, West Bend, IA 50597-5114 | 2011-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972169282 | Hughes Pharmacy Services Inc. | Pharmacy | 105 South Broadway Avenue, West Bend, IA 50597 | 2019-05-13 |
| 1346214087 | Careage Management LLC | Skilled Nursing Facility | 203 4th St, West Bend, IA 50597 | 2006-02-16 |
| 1164434080 | Palo Alto County Hospital | Family Medicine | 107 Division St, West Bend, IA 50597-0000 | 2006-08-12 |
| 1649340605 | Jillian Jan Hansen | Chiropractor | 323 South Broadway, West Bend, IA 50597-0297 | 2006-11-08 |
| 1962572776 | Palo Alto County Hospital | Clinic/Center | 107 W Division St, West Bend, IA 50597-7738 | 2006-11-09 |
| 1144429119 | West Bend - Mallard Community School District | Local Education Agency (LEA) | 300 3rd Ave Sw, West Bend, IA 50597-8573 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639024 | Lyndsay Chapman | Nurse Practitioner | 836 W Badger Ln, West Bend, WI 53095-4502 | 2020-11-06 |
| 1073113841 | Spine Solutions of West Bend LLC | Clinic/Center | 1000 Gateway Ct Ste 200, West Bend, WI 53095-8541 | 2020-10-29 |
| 1013535491 | Debra Ann Martens Mcpherrin | Licensed Practical Nurse | 551 Rivershores Dr, West Bend, WI 53090-2531 | 2020-07-11 |
| 1649892977 | Jessica Street | Registered Nurse | 843 Eastern Ave Apt 14, West Bend, WI 53095-4834 | 2020-05-08 |
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1386263846 | Peggy Kaye | Registered Nurse | 1932 Woodlawn Ave, West Bend, WI 53090-1532 | 2020-04-14 |
| 1710506696 | Brittany N Berens | Student in an Organized Health Care Education/Training Program | 5793 W Lake Dr, West Bend, WI 53095-8447 | 2020-04-10 |
| 1821626268 | Brannon Zochert | Student in an Organized Health Care Education/Training Program | 3335 Rock Ridge Rd, West Bend, WI 53095-7600 | 2020-03-31 |
| 1215563291 | Kayla Janto | Student in an Organized Health Care Education/Training Program | 1145 Kinross Ct, West Bend, WI 53095-3825 | 2020-03-21 |
| 1659907392 | Michelle Monroe | Counselor | 601 Kohler Dr, West Bend, WI 53090-9036 | 2020-03-13 |
| Find all providers in WEST BEND | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389346 | Perry Lutheran Home - Rowley Campus LLC | Nursing Facility/Intermediate Care Facility | 1300 28th St, Perry, IA 50220-2329 | 2020-09-01 |
| 1225546948 | Creekside, Inc | Nursing Facility/Intermediate Care Facility | 503 Wical Way, Grundy Center, IA 50638-0000 | 2018-01-16 |
| 1679920946 | Roy Gonzalez | Nursing Facility/Intermediate Care Facility | 40 Ridgeview Rd, Sioux City, IA 51104-4052 | 2016-05-17 |
| 1609241926 | Monica Wincentsen | Nursing Facility/Intermediate Care Facility | 122 Euclid Ave, Norway, IA 52318 | 2015-12-11 |
| 1003246000 | Keystone Nursing Care Center, Inc | Nursing Facility/Intermediate Care Facility | 280 5th St, Suite 2, Keystone, IA 52249-9533 | 2013-11-13 |
| 1346434826 | Shenandoah Enterprises LLC | Nursing Facility/Intermediate Care Facility | 1201 S Walnut St, Shenandoah, IA 51601-2176 | 2007-08-28 |
| 1952528424 | S.t.l. Care Company | Nursing Facility/Intermediate Care Facility | 1220 5th Ave Se, Cedar Rapids, IA 52403-4049 | 2007-04-19 |
| 1568686236 | Martin Health Center, Inc. | Nursing Facility/Intermediate Care Facility | 420 E 11th St, Cedar Falls, IA 50613-3364 | 2007-04-12 |
| 1548386675 | Longhouse-northshire, Ltd | Nursing Facility/Intermediate Care Facility | 711 W 11th St, Spencer, IA 51301-3237 | 2007-03-21 |
| 1083738132 | Spurgeon Manor, Inc. | Nursing Facility/Intermediate Care Facility | 1204 Linden St, Dallas Center, IA 50063-1052 | 2007-03-16 |
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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.