Organization Active NPI

Griswold Care Center Inc.

  • Nursing Facility/Intermediate Care Facility
  • Griswold, IA
National Provider Identifier
1649240987
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
150033 Issued in IA
Legal business name
GRISWOLD CARE CENTER INC.
Practice address
106 Harrison St
Griswold, IA 51535-8042
Phone
(712) 778-2534
Fax
(712) 778-2675
NPI assigned
Jan 26, 2006
Last updated
Apr 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Roger A Hinz
Title
President
Phone
(712) 778-2534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 150033 IA Primary

Addresses

Primary practice location

106 Harrison St
Griswold, IA 51535-8042

Mailing address

106 Harrison St
Griswold, IA 51535-8042
Phone (712) 778-2534

Other identifiers 2

IdentifierTypeStateIssuer
0807313MedicaidIA
65351OtherIAWELLMARK BC/BS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1649240987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HARRISON ST",
            "city": "GRISWOLD",
            "state": "IA",
            "postal_code": "515358042",
            "telephone_number": "712-778-2534",
            "fax_number": "712-778-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HARRISON ST",
            "city": "GRISWOLD",
            "state": "IA",
            "postal_code": "515358042",
            "telephone_number": "712-778-2534",
            "fax_number": "712-778-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRISWOLD CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "HINZ",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-778-2534"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "150033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0807313",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "65351",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Griswold, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.