Kismet LGN, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

430203 Issued in IA

Legal business name

KISMET LGN, LLC

Doing business as

Westmont Care Center
Westmont Healthcare Community

Practice address

314 S Elm Ave
Logan, IA 51546-1442

Phone

(712) 644-2922

NPI assigned

Aug 9, 2005

Last updated

Jan 22, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Moore

Title

Cfo

Phone

(605) 642-7736

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Westmont Care Center Doing business as
• Westmont Healthcare Community Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1003817388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S ELM AVE",
            "city": "LOGAN",
            "state": "IA",
            "postal_code": "515461442",
            "telephone_number": "712-644-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S ELM AVE",
            "city": "LOGAN",
            "state": "IA",
            "postal_code": "515461442",
            "telephone_number": "712-644-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISMET LGN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-642-7736"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "430203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003817388",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westmont Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westmont Healthcare Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrie Lynn Grady, M.D.
• Harrison County Homemaker Agency
• Heartland Family Service
• Nicolas Hiller
• Hannah Beth James, PLMHP, TCADC
• Kismet LGN, LLC (WEL-Home health Logan)
• Logan Magnolia School
• Logan Volunteer Fire & Rescue Association (Logan Fire Rescue Association)
• Carol Ann Logan-Brummer, MA. LMHC,CADC
• Brittany Michelle Long

• Skilled Nursing Facility in Logan, IA
• Providers in Logan, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.