Organization Active NPI

Country View Estates, Inc.

  • Custodial Care Facility
  • Guthrie Center, IA
National Provider Identifier
1679608558
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
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
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Janet Oberholtz
Title
Co - Administrator
Phone
(641) 755-2125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

2345 Redwood Ave
Guthrie Center, IA 50115-8888

Mailing address

2345 Redwood Ave
Guthrie Center, IA 50115-8888
Phone (641) 755-2125

Other identifiers 1

IdentifierTypeStateIssuer
0895623MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Country View Estates Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679608558",
    "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": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OBERHOLTZ",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CO - ADMINISTRATOR",
        "authorized_official_telephone_number": "641-755-2125"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0895623",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guthrie Center, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.