Colonial Manor of Elma

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0094 Issued in IA

Legal business name

COLONIAL MANOR OF ELMA

Doing business as

Afton Oaks Independent Assisted Living

Practice address

405 9TH St
Elma, IA 50628-0499

Phone

(641) 393-2125

NPI assigned

Aug 12, 2005

Last updated

Oct 8, 2009By 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

Mr. Timothy Roberts

Title

Cfo

Phone

(641) 456-5636

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Afton Oaks Independent Assisted Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Afton Oaks Independent Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Colonial Manor of Elma

  • Rehabilitation Clinic/Center
  • Elma, IA
  • NPI 1609027549
  NPD tax ID

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1043212715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 4TH ST NE",
            "city": "HAMPTON",
            "state": "IA",
            "postal_code": "504411104",
            "telephone_number": "641-456-5636",
            "fax_number": "641-456-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 9TH ST",
            "city": "ELMA",
            "state": "IA",
            "postal_code": "506280499",
            "telephone_number": "641-393-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL MANOR OF ELMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-456-5636",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0215061",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Afton Oaks Independent Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colonial Manor of Elma
• Colonial Manor of Elma Inc
• Comprehensive Systems, Inc
• Alyssa Crawford, LCPC
• Elma Ia Skilled Nursing Facility, LLC

• Assisted Living Facility in Elma, IA
• Providers in Elma, 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 Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.