NPIMap

Organization Active NPI

Careage Management, LLC

Doing business as Hillcrest Care Center

  • Skilled Nursing Facility
  • Hawarden, IA
National Provider Identifier
1407820558
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
840877 Issued in IA
Legal business name
CAREAGE MANAGEMENT, LLC
Doing business as
Hillcrest Care Center
Practice address
2121 Avenue L
Hawarden, IA 51023-1361
Phone
(712) 551-1074
Fax
(712) 551-2393
NPI assigned
Feb 15, 2006
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Mr. Daniel Thomas Myers
Title
President
Phone
(712) 293-0117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 840877 IA Primary

Addresses

Primary practice location

2121 Avenue L
Hawarden, IA 51023-1361

Mailing address

2121 Avenue L
Hawarden, IA 51023-1361
Phone (712) 293-0117

Other identifiers 1

IdentifierTypeStateIssuer
0809491MedicaidIA

Other names 1

  • Hillcrest Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1407820558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 AVENUE L",
            "city": "HAWARDEN",
            "state": "IA",
            "postal_code": "510231361",
            "telephone_number": "712-293-0117",
            "fax_number": "712-293-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 AVENUE L",
            "city": "HAWARDEN",
            "state": "IA",
            "postal_code": "510231361",
            "telephone_number": "712-551-1074",
            "fax_number": "712-551-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREAGE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-293-0117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "840877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0809491",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hawarden, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.