U.S.a. Healthcare Center-Urbandale, L.L.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

770053 Issued in IA

Legal business name

U.S.A. HEALTHCARE CENTER-URBANDALE, L.L.C.

Practice address

4614 84TH St
Urbandale, IA 50322-1089

Phone

(515) 278-6838

Fax

(515) 278-5693

NPI assigned

Jun 29, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jeff Hutton

Title

C.F.O.

Phone

(256) 739-1239

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1275530883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 84TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503221089",
            "telephone_number": "515-278-6838",
            "fax_number": "515-278-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 84TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503221089",
            "telephone_number": "515-278-6838",
            "fax_number": "515-278-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S.A. HEALTHCARE CENTER-URBANDALE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "256-739-1239",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "770053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65580",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0800000",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriele Twohey, CADC
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• Skilled Nursing Facility in Urbandale, IA
• Providers in Urbandale, 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 Apr 14, 2008; 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.