Courtyard Estates at Cedar Pointe

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COURTYARD ESTATES AT CEDAR POINTE

Practice address

6132 NE 12TH Ave
Pleasant Hill, IA 50327-8402

Phone

(515) 285-9108

NPI assigned

Apr 26, 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

Mrs. Pat Kaye Hanson, RN

Title

Manager

Phone

(515) 285-9108

Specialties & licenses 1

Addresses

Tax ID family

Courtyard Estates at Cedar Pointe2 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.

• Green Meadows Senior Living, LLC

  dba Edencrest at Green Meadows

  • Assisted Living Facility
  • Johnston, IA
  • NPI 1194190595
  NPD tax ID

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114147733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6132 NE 12TH AVE",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503278402",
            "telephone_number": "515-285-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6132 NE 12TH AVE",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503278402",
            "telephone_number": "515-285-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTYARD ESTATES AT CEDAR POINTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "515-285-9108",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Linn Clarke, R.PH.
• Megan Cole
• Community Care of Iowa, LLC (Not applicable)
• Community Care of Pleasant Hill LLC
• Corey Christopher Conrad, DDS MS
• Stacy Lynn Davis, PA
• Jason Keith Detrick, PHARMD
• Debbie Ann Dettmer, LPN
• Brent Allen Douglas, M.A., LMHC
• Edencrest at Pleasant Hill, LLC (Edencrest at Pleasant Hill)

• Assisted Living Facility in Pleasant Hill, IA
• Providers in Pleasant Hill, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.