Homestead of Creston Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0270 Issued in IA

Legal business name

HOMESTEAD OF CRESTON OPERATIONS LLC

Doing business as

Prairie View Assistant Living

Practice address

1709 West Prairie Street
Creston, IA 50801

Phone

(641) 782-3131

Fax

(641) 782-3176

NPI assigned

Mar 31, 2008

Last updated

Nov 10, 2011By 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

Mr. Mike Tryon

Title

Chief Finance Officer

Phone

(785) 228-7913

Specialties & licenses 1

Addresses

Other names 1

• Prairie View Assistant Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1578735452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 SW 29TH STREET",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "66614",
            "telephone_number": "785-272-1535",
            "fax_number": "785-272-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 WEST PRAIRIE STREET",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "50801",
            "telephone_number": "641-782-3131",
            "fax_number": "641-782-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD OF CRESTON OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "TRYON",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CHIEF FINANCE OFFICER",
        "authorized_official_telephone_number": "785-228-7913",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie View Assistant Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura E Hickman, PT
• Larry W. Hicks, OD
• Michelle McClaren Hicks
• Carlene Marie Hoffman, MSN, ARNP, FNP-BC
• Joshua Brian Holliday
• Dennis R Hopkins, DC
• Jennifer Hoyt, PHARMD
• John C Hoyt, D.O.
• Diana Huntington, OTR
• Hy-Vee Inc (Hy-Vee Pharmacy (1095))

• Assisted Living Facility in Creston, IA
• Providers in Creston, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.