Elkader Nursing Home Company LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

220240 Issued in IA

Legal business name

ELKADER NURSING HOME COMPANY LLC

Doing business as

Elkader Care Center

Practice address

116 Reimer St SW
Elkader, IA 52043-9558

Phone

(563) 245-1620

Fax

(563) 245-2198

NPI assigned

Mar 21, 2006

Last updated

Mar 18, 2008By 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. Donald L Chensvold

Title

Manager

Phone

(319) 362-8916

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elkader Care Center Doing business as

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1093774838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "ELKADER",
            "state": "IA",
            "postal_code": "520430519",
            "telephone_number": "563-245-1620",
            "fax_number": "563-245-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 REIMER ST SW",
            "city": "ELKADER",
            "state": "IA",
            "postal_code": "520439558",
            "telephone_number": "563-245-1620",
            "fax_number": "563-245-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKADER NURSING HOME COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "CHENSVOLD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "319-362-8916",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "220240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0809210",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elkader Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Stacey Ann Embretson, ARNP
• Dean Emil Ferguson, DC
• Harry William Fischer, M.D.

• Skilled Nursing Facility in Elkader, IA
• Providers in Elkader, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.