Hawkeye Care Center of Spirit Lake, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

300353 Issued in IA

Legal business name

HAWKEYE CARE CENTER OF SPIRIT LAKE, LLC

Doing business as

Hawkeye Care Center Spirit Lake

Practice address

1912 Zenith Ave
Spirit Lake, IA 51360

Phone

(712) 336-3300

NPI assigned

Feb 3, 2006

Organization subpart

No

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

Authorized official

Name

Doug Johnson

Title

President

Phone

(515) 223-0173

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hawkeye Care Center Spirit Lake Doing business as

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1578535548",
    "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": "1912 ZENITH AVE",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "51360",
            "telephone_number": "712-336-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKEYE CARE CENTER OF SPIRIT LAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-223-0173"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "300353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0809475",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawkeye Care Center Spirit Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Ray Haisman, OD
• David Jon Halland, PT
• Jason Roger Hamm, D.C.
• Amy Erika Hartzell, DDS
• Brent Haugle, MS, RD, LD
• Headwaters Integrative Center LLC
• Ann K Heiman, M.S., M.P.T.
• Todd Anthony Helmers, LPT
• Nicole Lynn Henrickson
• Mara Groom Hermiston, D.O.

• Skilled Nursing Facility in Spirit Lake, IA
• Providers in Spirit Lake, 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 1, 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.