Opco Keosauqua, Ia, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OPCO KEOSAUQUA, IA, LLC

Doing business as

Keosauqua Health Care Center

Practice address

819 Country Lane Rd
Keosauqua, IA 52565-1001

Phone

(319) 293-3761

NPI assigned

Jan 13, 2021

Last updated

Oct 29, 2024By 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

Isaac Dole

Title

President/Ceo

Phone

(773) 645-9246

Specialties & licenses 1

Addresses

Other names 1

• Keosauqua Health Care Center Doing business as

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1295324275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B-34572",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121576",
            "telephone_number": "773-645-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 COUNTRY LANE RD",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "525651001",
            "telephone_number": "319-293-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPCO KEOSAUQUA, IA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "DOLE",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "773-645-9246"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keosauqua Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keosauqua Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Keosauqua, IA
• Providers in Keosauqua, 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 Oct 29, 2024; 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.