Waukee Senior Housing II, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

251115 Issued in IA

Legal business name

WAUKEE SENIOR HOUSING II, LLC

Practice address

1645 SE Holiday Crest Cir
Waukee, IA 50263-8409

Phone

(515) 987-3625

Fax

(515) 987-5795

NPI assigned

Mar 30, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jeffery Garth Ewing

Title

President

Phone

(641) 628-0073

Specialties & licenses 1

Addresses

Other names 1

• The Village at Legacy Pointe Nursing Facility Doing business as

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1417199092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 W 16TH ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502197918",
            "telephone_number": "641-628-0073",
            "fax_number": "641-620-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 SE HOLIDAY CREST CIR",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638409",
            "telephone_number": "515-987-3625",
            "fax_number": "515-987-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUKEE SENIOR HOUSING II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "GARTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-628-0073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "251115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Village at Legacy Pointe Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walnut Hills Pediatric Dentistry, L.L.C.
• Laura Renee Walter, PT
• Lori Walton, SLP
• Waukee Chiropractic and Acupuncture PLLC
• Waukee Community School District
• Waukee Surgery Center LLC
• Waukee Wellness & Chiropractic, PC
• Ruth Helen Webb, PSY.D.
• Gregg Allen Wehrspan, D.C.
• Magnolia Weigold, RBT

• Skilled Nursing Facility in Waukee, IA
• Providers in Waukee, 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 Mar 30, 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.