Senior Living Waukee, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

251115 Issued in IA

Legal business name

SENIOR LIVING WAUKEE, LLC

Practice address

1645 SE Holiday Crest Cir
Waukee, IA 50263-8409

Phone

(515) 987-4103

NPI assigned

Sep 4, 2012

Organization subpart

No

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

Authorized official

Name

Lori Apple

Title

President

Phone

(248) 438-1507

Specialties & licenses 1

Addresses

Other names 2

• The Village at Legacy Pointe Doing business as
• The Village of Legacy Pointe Nursing Facility Doing business as

Locations

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1508115759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W RUDASILL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047800"
        },
        {
            "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": "515-987-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING WAUKEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "APPLE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-438-1507"
    },
    "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",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Village of Legacy Pointe Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Marie Schmelzle, DPT
• William H Schupp, MD
• Amanda Marie Seaberg, DDS
• Adam Jon Secory, D.O.
• Trenton Semmens, DPT
• Senior Living Waukee, LLC
• Serenity Care and Life Skills Services LLC
• Emily Seuferer, OD
• Garrett Shackleton, M.D.
• Shadow Creek Pediatric Dentistry of Waukee LLC

• 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 May 13, 2020; 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.