Organization Active NPI

Seymour Community Care Center Inc

  • Skilled Nursing Facility
  • Seymour, IA
National Provider Identifier
1093740664
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0181 Issued in IA
Legal business name
SEYMOUR COMMUNITY CARE CENTER INC
Practice address
400 E Four St
Seymour, IA 52590-1227
Phone
(641) 673-4501
Fax
(641) 672-2522
NPI assigned
Jul 12, 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
Mrs. Clarice Lee Wright
Title
Vice President
Phone
(641) 673-6886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0181 IA Primary

Addresses

Primary practice location

400 E Four St
Seymour, IA 52590-1227

Mailing address

914 N 12TH St
Oskaloosa, IA 52577-2416
Phone (641) 673-4501

Other identifiers 2

IdentifierTypeStateIssuer
0809590MedicaidIA
0431650OtherIARESPITE CARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093740664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 N 12TH ST",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772416",
            "telephone_number": "641-673-4501",
            "fax_number": "641-672-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E FOUR ST",
            "city": "SEYMOUR",
            "state": "IA",
            "postal_code": "525901227",
            "telephone_number": "641-673-4501",
            "fax_number": "641-672-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYMOUR COMMUNITY CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "CLARICE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "641-673-6886",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "0181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0809590",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPITE CARE",
            "identifier": "0431650",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, 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.