LUTHERAN HOME FOR THE AGED ASSOCIATION-WEST (NPI# 1861549719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861549719 |
| Entity Type | Organization |
| Organization Name | LUTHERAN HOME FOR THE AGED ASSOCIATION-WEST |
| Other Organization Name | PERRY LUTHERAN HOME |
| Practice Address |
2323 Willis Ave Perry IA 50220-2148 |
| Practice Telephone | 5154655342 |
| Practice Fax Number | 5154655344 |
| Mailing Telephone | 5154655342 |
| Mailing Fax Number | 5154655344 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DOUGLAS DEAN WOOD (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 5154655342 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 250186 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0805242 | 05 |
| Other Name | Type Code |
|---|---|
| Perry Lutheran Home | Doing Business As Name - Organization |
| Street Address |
2323 WILLIS AVE |
| City | PERRY |
| State | IA |
| Zip Code | 50220-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407405897 | Tanna Corrigan | Technician | 2628 Marengo Dr, Perry, IA 50220 | 2019-09-09 |
| 1053963900 | Nicole Dora Mcclavy | Nurse Practitioner | 610 10th St, Perry, Ia 50220, Perry, IA 50220 | 2019-07-11 |
| 1881816882 | Rachel Fazio | Occupational Therapist | 2625 Iowa St, Perry, IA 50220 | 2007-05-02 |
| 1558485151 | Angela Faye Hansen-abbas | Occupational Therapist | 161 315th Street, Perry, IA 50220 | 2007-03-19 |
| 1356405658 | Eye Care Associates PC | Optometrist | 1313 2nd St., Perry, IA 50220 | 2006-12-20 |
| 1962591800 | Nabil Nakhla Faltas | Radiology | 610 10th Street, Dallas Co Hospital, Perry, IA 50220 | 2006-10-11 |
| 1508959172 | Renal Treatment Centers Illinois Inc | Clinic/Center | 610 10th St Ste L100, Perry, IA 50220 | 2006-10-02 |
| 1790702207 | Todd R Miller | Podiatrist | 612 10th St, Perry, IA 50220 | 2006-07-17 |
| 1750349411 | Chad M Kuehl | Physical Therapist | 610 10t St, Perry, IA 50220 | 2006-05-03 |
| 1942672563 | Ronda Hemann | Counselor | 610 10th Street, Perry, IA 50220 | 2015-10-22 |
| Find all providers in zip 50220 | ||||
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1861522336 | Mercy Medical Center-clinton, Inc. | Nursing Facility/Intermediate Care Facility | 600 14th Ave N, Clinton, IA 52732-2914 | 2007-03-06 |
| Find all providers with the same taxonomy | ||||
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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.