Simpson Memorial Home, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0187 Issued in IA

Legal business name

SIMPSON MEMORIAL HOME, INC

Doing business as

Leland Smith Assisted Living

Practice address

309 Ovesen Dr
Wilton, IA 52778

Phone

(319) 627-4775

Fax

(319) 627-4738

NPI assigned

Mar 1, 2007

Last updated

Aug 22, 2020By 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

Shelley Wicks

Title

Administrator

Phone

(319) 627-4775

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Leland Smith 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

Leland Smith Assisted Living3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Simpson Memorial Home Inc

  • Skilled Nursing Facility
  • West Liberty, IA
  • NPI 1033106620
  NPD tax ID
• Simpson Memorial Home Inc

  dba Wilton Retirement Community

  • Skilled Nursing Facility
  • Wilton, IA
  • NPI 1033544655
  NPD tax ID

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114055910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 OVESEN DR",
            "city": "WILTON",
            "state": "IA",
            "postal_code": "52778",
            "telephone_number": "319-627-4775",
            "fax_number": "319-627-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 OVESEN DR",
            "city": "WILTON",
            "state": "IA",
            "postal_code": "52778",
            "telephone_number": "319-627-4775",
            "fax_number": "319-627-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPSON MEMORIAL HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WICKS",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "319-627-4775"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0414979",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leland Smith Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachael Martin, PT
• Lisa Michaels, DC
• Melanie Elizabeth Hexen Retterer, CPM
• Laura Fitzpatrick Sass Meincke, DDS
• Simpson Memorial Home Inc (Wilton Retirement Community)
• Matthew Lynn Sojka, M.D.
• Annie Springsteen, PHARM.D.
• Keith Wayne Stanley, DDS
• Jason Daniel Thornburg, PA-C
• Unity Healthcare (UnityPoint Clinic - Family Medicine - Wilton)

• Assisted Living Facility in Wilton, IA
• Providers in Wilton, 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 Aug 22, 2020; 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.