QHC Winterset South LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0800047 Issued in IA

Legal business name

QHC WINTERSET SOUTH LLC

Doing business as

Winterset Care Center South

Practice address

715 S 2ND Ave
Winterset, IA 50273-2143

Phone

(515) 462-4040

Fax

(515) 462-4041

NPI assigned

Aug 28, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jerry William Voyna, CPA

Title

Owner

Phone

(515) 276-3656

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Winterset Care Center South Doing business as

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

{
    "created_epoch": "1125187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1114910833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 HICKMAN RD",
            "address_2": "SUITE 15",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254311",
            "telephone_number": "515-276-3656",
            "fax_number": "515-276-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S 2ND AVE",
            "city": "WINTERSET",
            "state": "IA",
            "postal_code": "502732143",
            "telephone_number": "515-462-4040",
            "fax_number": "515-462-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QHC WINTERSET SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-28",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "VOYNA",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-276-3656",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "0800047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0800047",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winterset Care Center South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Matthew Phelps, D.D.S.
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• Devin Lauren Robertson, MSW, LCSW
• Jason Salton, PHARMD
• Kristi Schreur, PHARM D

• Skilled Nursing Facility in Winterset, IA
• Providers in Winterset, 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 Dec 15, 2014; 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.