Country View Estates, Inc.

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

R - 695 Issued in IA

Legal business name

COUNTRY VIEW ESTATES, INC.

Practice address

2345 Redwood Ave
Guthrie Center, IA 50115-8888

Phone

(641) 755-2125

Fax

(641) 755-2863

NPI assigned

Oct 25, 2012

Last updated

Oct 25, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

COUNTRY VIEW ESTATES, INC.As reported in NPPES

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

Authorized official

Name

Gary Randel

Title

President

Phone

(641) 755-2125

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Country View Estates Inc3 organizations share this tax ID, including this one

Part of

Country View Estates Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Country View Estates, Inc.

  • Custodial Care Facility
  • Guthrie Center, IA
  • NPI 1588709976
  NPD tax ID
• Country View Estates, Inc.

  • Custodial Care Facility
  • Guthrie Center, IA
  • NPI 1679608558
  NPD tax ID

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1598018707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 REDWOOD AVE",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "501158888",
            "telephone_number": "641-755-2125",
            "fax_number": "641-755-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 REDWOOD AVE",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "501158888",
            "telephone_number": "641-755-2125",
            "fax_number": "641-755-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY VIEW ESTATES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTRY VIEW ESTATES, INC.",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "RANDEL",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-755-2125"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "IA",
            "license": "R - 695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588709976",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679608558",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cam Inc (Timber Creek Therapies)
• Central Iowa Family Eyecare PLLC
• City of Guthrie Center
• Kathleen M Core, ARNP
• Country View Estates, Inc.
• Country View Estates, Inc.
• County of Guthrie (Guthrie County Public Health)
• County of Guthrie (Guthrie County Nursing Service)
• County of Guthrie (Guthrie County Public Health)
• County of Guthrie

• Custodial Care Facility in Guthrie Center, IA
• Providers in Guthrie Center, IA by specialty
• Custodial Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.