Organization Active NPI

Eagle Point Nursing and Rehab Center

  • Nursing Facility/Intermediate Care Facility
  • Clinton, IA
National Provider Identifier
1063409464
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
230059 Issued in IA
Legal business name
EAGLE POINT NURSING AND REHAB CENTER
Practice address
801 28TH Ave N
Clinton, IA 52732-1955
Phone
(563) 243-6600
Fax
(563) 242-4400
NPI assigned
Sep 30, 2005
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
Ms. Nancy Gabrielson, ED
Title
Administrator
Phone
(563) 243-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 230059 IA Primary

Addresses

Primary practice location

801 28TH Ave N
Clinton, IA 52732-1955

Mailing address

801 28TH Ave N
Clinton, IA 52732-1955
Phone (563) 243-6600

Other identifiers 1

IdentifierTypeStateIssuer
0809285MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Eagle Point Nursing and Rehab Center2 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.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063409464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 28TH AVE N",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527321955",
            "telephone_number": "563-243-6600",
            "fax_number": "563-242-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 28TH AVE N",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527321955",
            "telephone_number": "563-243-6600",
            "fax_number": "563-242-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE POINT NURSING AND REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GABRIELSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "563-243-6600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ED"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "230059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0809285",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.