Organization Active NPI

The Rose of Council Bluffs, L.P.

  • Assisted Living Facility
  • Council Bluffs, IA
National Provider Identifier
1154765873
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE ROSE OF COUNCIL BLUFFS, L.P.
Practice address
2306 Sherwood Dr
Council Bluffs, IA 51503-1048
Phone
(712) 322-1000
Fax
(712) 352-1790
NPI assigned
Apr 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Mr. Gregory A McClenahan, J.D.
Title
President of General Partner
Phone
(952) 447-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X IA Primary

Addresses

Primary practice location

2306 Sherwood Dr
Council Bluffs, IA 51503-1048

Mailing address

16670 Franklin TRL SE
Prior Lake, MN 55372-2927
Phone (952) 447-2345

National Provider Directory

National Provider Directory

Locations

16670 Franklin Trl SE
Prior Lake, MN 55372
Phone (952) 447-4611

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1154765873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16670 FRANKLIN TRL SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722927",
            "telephone_number": "952-447-2345",
            "fax_number": "952-447-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 SHERWOOD DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031048",
            "telephone_number": "712-322-1000",
            "fax_number": "712-352-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROSE OF COUNCIL BLUFFS, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "MCCLENAHAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OF GENERAL PARTNER",
        "authorized_official_telephone_number": "952-447-2345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.