Hawkeye Care Center of Carroll

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

140024 Issued in IA

Legal business name

HAWKEYE CARE CENTER OF CARROLL

Doing business as

Hawkeye Care Center Carroll

Practice address

2241 N West St
Carroll, IA 51401-3607

Phone

(712) 792-9284

Fax

(712) 792-4883

NPI assigned

Aug 27, 2010

Last updated

Sep 8, 2015By 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

Mr. Michael T Hamm

Title

Ceo

Phone

(515) 223-0173

Specialties & licenses 1

Addresses

Other names 1

• Hawkeye Care Center Carroll Doing business as

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1407162563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 ZENITH AVE",
            "address_2": "SUITE 2526",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601000",
            "telephone_number": "712-759-1321",
            "fax_number": "712-759-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 N WEST ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013607",
            "telephone_number": "712-792-9284",
            "fax_number": "712-792-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKEYE CARE CENTER OF CARROLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-223-0173",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "140024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawkeye Care Center Carroll",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Gross
• Thea Guest, MS, LISW, NCC
• Jedd A Hagen, MD
• Martin John Halbur, DDS
• Jennifer A. Handlos, PT
• Healing Arts Center PLC
• Michelle Lynn Heim, DO
• Jane L Heithoff, RN, CPNP
• Madison Hemer, RDN
• Kylie Hepp, LISW

• Skilled Nursing Facility in Carroll, IA
• Providers in Carroll, 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 Sep 8, 2015; 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.