Kismet Idg, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

470912 Issued in IA

Legal business name

KISMET IDG, LLC

Doing business as

Morningside Care Center

Practice address

600 Morningside Ave
Ida Grove, IA 51445-1637

Phone

(712) 364-3327

NPI assigned

Aug 9, 2005

Last updated

Jan 22, 2019By 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

Michael Moore

Title

Cfo

Phone

(605) 642-7736

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Morningside Care Center Doing business as

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1427059757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MORNINGSIDE AVE",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451637",
            "telephone_number": "712-364-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MORNINGSIDE AVE",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451637",
            "telephone_number": "712-364-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISMET IDG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-642-7736"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "470912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427059757",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morningside Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sarah Kent, ARNP FNP-C
• Laura M Parks, DDS (Patera Family Dentistry)
• Amanda K Lefebvre, ARNP
• Eric E Luebbert, D.O.
• Medical Arts PLC
• Medical Imaging Services of Northwest Iowa, P.C.

• Skilled Nursing Facility in Ida Grove, IA
• Providers in Ida Grove, 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 Jan 22, 2019; 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.