The Rose of Waterloo, L.P.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE ROSE OF WATERLOO, L.P.

Practice address

421 Oak Ave
Waterloo, IA 50703-3401

Phone

(319) 232-6061

Fax

(319) 232-6571

NPI assigned

Apr 24, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Gregory A McClenahan, J.D.

Title

President of General Partner

Phone

(952) 447-2345

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1649614355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16670 FRANKLIN TRL SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722927",
            "telephone_number": "952-447-2345",
            "fax_number": "952-447-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 OAK AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507033401",
            "telephone_number": "319-232-6061",
            "fax_number": "319-232-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROSE OF WATERLOO, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "MCCLENAHAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OF GENERAL PARTNER",
        "authorized_official_telephone_number": "952-447-2345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X000700924",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Waterloo, IA
• Providers in Waterloo, 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 Apr 24, 2013; 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.