On With Life Extended Services, LTD.

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

ON WITH LIFE EXTENDED SERVICES, LTD.

Doing business as

On With Life Long Term Care

Practice address

1002 W Washington Ave
Polk City, IA 50226-2132

Phone

(515) 289-9600

NPI assigned

Apr 30, 2024

Last updated

Jul 17, 2024By 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

Erin Luft-Wiskus

Title

Credentialing Coordinator

Phone

(515) 289-9703

Specialties & licenses 1

Addresses

Other names 1

• ON WITH LIFE LONG TERM CARE Doing business as

Tax ID family

On With Life Extended Services LTD2 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.

• On With Life Extended Services, LTD.

  dba On With Life Long Term Care

  • Pediatric Skilled Nursing Facility
  • Polk City, IA
  • NPI 1841355575
  NPD tax ID

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1124875091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SW ANKENY RD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500235999",
            "telephone_number": "515-289-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 W WASHINGTON AVE",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502262132",
            "telephone_number": "515-289-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON WITH LIFE EXTENDED SERVICES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "LUFT-WISKUS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "515-289-9703"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ON WITH LIFE LONG TERM CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaden Mason
• Melinda McKinney, DC
• McRock Inc (Polk City Pharmacy)
• Makena Morrison
• Norgaard and Williams General Parternership
• On With Life Extended Services, LTD. (On With Life Long Term Care)
• Ahmed Onwona-Agyeman
• Rhoderline Onwona-Agyeman
• Pharmacy Support Services
• Pinnacle Health Facilities Xvii LP (Polk City Nursing and Rehabilitation Center)

• Pediatric Skilled Nursing Facility in Polk City, IA
• Providers in Polk City, IA by specialty
• Pediatric Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.