Estherville Al Windsor Manor

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0352 Issued in IA

Legal business name

ESTHERVILLE AL WINDSOR MANOR

Practice address

2015 3Rd Ave N
Estherville, IA 51334-1740

Phone

(712) 362-0171

Fax

(712) 362-0034

NPI assigned

Dec 20, 2016

Last updated

Dec 20, 2016By 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

Patty M Youll

Title

Executive Director

Phone

(712) 362-0171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1144765561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 3RD AVE N",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513341740",
            "telephone_number": "712-362-0171",
            "fax_number": "712-362-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 3RD AVE N",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513341740",
            "telephone_number": "712-362-0171",
            "fax_number": "712-362-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHERVILLE AL WINDSOR MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "YOULL",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "712-362-0171"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Denise Deitering, COTA
• Maureen Helen Doherty, PTA
• Shannon M Edwards, FNTP
• Emmet County Case Management
• Kristine Ann Enerson
• Estherville Ambulance Service Inc.
• Estherville C.S.D.
• Estherville Drug Company Inc
• Estherville Family Chiropractic P.C.
• Estherville Opco LLC (Estherville Community Care Center)

• Assisted Living Facility in Estherville, IA
• Providers in Estherville, 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 Dec 20, 2016; 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.