NPIMap

Organization Active NPI

Floyd Valley Hospital

Doing business as Park Place Estates

  • Assisted Living Facility
  • Le Mars, IA
National Provider Identifier
1013079102
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
S0021 Issued in IA
Legal business name
FLOYD VALLEY HOSPITAL
Doing business as
Park Place Estates
Practice address
900 Lincoln St NE
Le Mars, IA 51031-3345
Phone
(712) 546-3398
Fax
(712) 546-3352
NPI assigned
Dec 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Daryl J Friedenbach
Title
Director of Fiscal Services
Phone
(712) 546-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X S0021 IA Primary

Addresses

Primary practice location

900 Lincoln St NE
Le Mars, IA 51031-3345

Mailing address

900 Lincoln St NE
Le Mars, IA 51031-3345
Phone (712) 546-3398

Other names 1

  • Park Place Estates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040129001169 IA Part B Supplier - Clinic/Group Practice 2769385475 Receives reassigned benefits from 51 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Le Mars, IA; Marcus, IA; Remsen, IA; Sioux Center, IA

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Floyd Valley Neurology8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013079102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LINCOLN ST NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313345",
            "telephone_number": "712-546-3398",
            "fax_number": "712-546-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LINCOLN ST NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313345",
            "telephone_number": "712-546-3398",
            "fax_number": "712-546-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOYD VALLEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIEDENBACH",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF FISCAL SERVICES",
        "authorized_official_telephone_number": "712-546-3338",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Place Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Le Mars, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.