Active NPI
Country View Estates, Inc.
- Custodial Care Facility
- Guthrie Center, IA
National Provider Identifier
1679608558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0895623 | Medicaid | IA |
National Provider Directory
National Provider Directory- Tax ID family
- Country View Estates Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Custodial Care Facility
- Guthrie Center, IA
- NPI 1588709976
-
- Custodial Care Facility
- Guthrie Center, IA
- NPI 1598018707
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.