Grinnelle Iowa Assisted Living Facility LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0224 Issued in IA

Legal business name

GRINNELLE IOWA ASSISTED LIVING FACILITY LLC

Doing business as

Windsor Manor Grinnelle

Practice address

229 Pearl St
Grinnell, IA 50112-2593

Phone

(641) 236-8700

Fax

(641) 236-9514

NPI assigned

May 7, 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. Sharon Poush, RN

Title

Manager

Phone

(641) 236-8700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Windsor Manor Grinnelle Doing business as

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144433244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 PEARL ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122593",
            "telephone_number": "641-236-8700",
            "fax_number": "641-236-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 PEARL ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122593",
            "telephone_number": "641-236-8700",
            "fax_number": "641-236-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRINNELLE IOWA ASSISTED LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POUSH",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "641-236-8700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0477331",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Manor Grinnelle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Grinnell, IA
• Providers in Grinnell, 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.