Camanche 1, LLC Dba Park Vista Retirement Living-Camanche
Organization Active NPI Assisted Living Facility · Camanche, IA
NPI 1154280873 · NPPES record last updated Jan 19, 2026
Key facts
- NPI
- 1154280873
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- CAMANCHE 1, LLC DBA PARK VISTA RETIREMENT LIVING-CAMANCHE
- Practice address
- 1810 Park Vista Dr
Camanche, IA 52730-9504 - Phone
- (563) 447-7447
- Fax
- (563) 321-4849
- NPI assigned
- Jan 19, 2026
- Organization subpart
- No
Authorized official
- Name
- Kelley Ann Robinson-Klotzbuecher, RN
- Title
- Chief Operating Officer
- Phone
- (715) 281-4515
Practitioners 1
-
Stephen D Harrison, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2146349 | Park Vista Retirement Living-Camanche | Certificate of waiver | Mar 27, 2028 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
1810 Park Vista Dr
Camanche, IA 52730-9504
Mailing address
1810 Park Vista Dr
Camanche, IA 52730-9504
Phone (563) 447-7447
Other providers in Camanche, IA
- Roxanne L Aude
- James Christopher Boysen
- Amy Louise Brightman
- Camanche Chiropractic Center PLLC
- Camanche Community School District
- Camanche Drug Store
- Camanche Pharmacy Inc
- Camanche Physical Therapy Rehab Services
All providers in Camanche, IA · Assisted Living Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.