Elmwood Pe, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ELMWOOD PE, LLC

Doing business as

Elmwood Assisted Living

Practice address

190 15TH St
Onawa, IA 51040-1071

Phone

(712) 423-2510

Fax

(712) 423-1754

NPI assigned

Feb 21, 2012

Last updated

Feb 21, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

IANE PROPERTIES I, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Richard T Mason

Title

Authorized Representative

Phone

(888) 391-2373

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elmwood Assisted Living Doing business as

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1144593252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 15TH ST",
            "city": "ONAWA",
            "state": "IA",
            "postal_code": "510401071",
            "telephone_number": "712-423-2510",
            "fax_number": "712-423-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 15TH ST",
            "city": "ONAWA",
            "state": "IA",
            "postal_code": "510401071",
            "telephone_number": "712-423-2510",
            "fax_number": "712-423-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMWOOD PE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IANE PROPERTIES I, LLC",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "888-391-2373",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0223552",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmwood Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittney Lynne Donn, D.C.
• Duarte & Gelinne, D.D.S., P.C. (Onawa Family Dentistry)
• Sheila Marie Duarte, D.D.S.
• Paul Edward Dudley, M.D.
• Elmwood Care Center LLC (Elmwood Care Centre)
• Family First Dental Associates of Primghar, P.C.
• Family Focus Chiropractic LLC
• Family Medicine Clinic, P.C.
• Family Medicine Clinic, PC
• Jane E Gambs, PA-C

• Assisted Living Facility in Onawa, IA
• Providers in Onawa, 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 Feb 21, 2012; 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.