Shenandoah Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SHENANDOAH CARE CENTER, LLC

Doing business as

Garden View Care Center

Practice address

1200 W Nishna Rd
Shenandoah, IA 51601-2116

Phone

(712) 246-4515

Fax

(712) 246-5085

NPI assigned

Nov 5, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Bobby Royce Arnold

Title

Managing Member

Phone

(601) 956-1013

Specialties & licenses 1

Addresses

Other names 1

• Garden View Care Center Doing business as

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1215264726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W NISHNA RD",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516012116",
            "telephone_number": "712-246-4515",
            "fax_number": "712-246-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W NISHNA RD",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516012116",
            "telephone_number": "712-246-4515",
            "fax_number": "712-246-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "ROYCE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "601-956-1013",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden View Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Ann Schaeffer, RN
• John Schleef, D.C.
• Alicia Pearl Schroder, PHARMD
• David W. Shane, L.C.S.W. (ILLINOIS)
• Shenandoah Ambulance Service
• Shenandoah Community School District
• Shenandoah Doctors Clinic
• Shenandoah Enterprises LLC
• Shenandoah Family Dentistry, P.C.
• Shenandoah Iowa Assiste Living Facility LLC

• Skilled Nursing Facility in Shenandoah, IA
• Providers in Shenandoah, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.