Ameritus Monona Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AMERITUS MONONA OPCO LLC

Practice address

800 Darby Dr
Monona, IA 52159-8157

Phone

(563) 794-4628

NPI assigned

Sep 28, 2023

Last updated

Sep 28, 2023By 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

Jordan Lange

Title

Corporate Administrator

Phone

(507) 251-6356

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1033998059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 E RIVER RD NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559065407",
            "telephone_number": "507-361-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 DARBY DR",
            "city": "MONONA",
            "state": "IA",
            "postal_code": "521598157",
            "telephone_number": "563-794-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERITUS MONONA OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "CORPORATE ADMINISTRATOR",
        "authorized_official_telephone_number": "507-251-6356"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aller Family Chiropractic
• Laycee Aller, D.C.
• Central Community Hospital (MercyOne Monona Family Medicine)
• Mark Gary Fohey, DDS
• Todd Eric Hanson, DC
• Robin R Laube
• M-F-L Ambulance Service, Inc.

• Assisted Living Facility in Monona, IA
• Providers in Monona, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.