Buena Vista Manor Care Center

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0478248 Issued in IA

Legal business name

BUENA VISTA MANOR CARE CENTER

Practice address

1325 Lake Ave
Box 1266
Storm Lake, IA 50588-1907

Phone

(712) 732-3254

Fax

(712) 732-1990

NPI assigned

Apr 27, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Jean Richard

Title

Administrator

Phone

(712) 732-3254

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Buena Vista Manor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Buena Vista Manor, Inc.

  dba Buena Vista Manor

  • Respite Care
  • Storm Lake, IA
  • NPI 1740497403
  NPD tax ID

Locations

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689894958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 LAKE AVE",
            "address_2": "BOX 1266",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881907",
            "telephone_number": "712-732-3254",
            "fax_number": "712-732-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 LAKE AVE",
            "address_2": "BOX 1266",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881907",
            "telephone_number": "712-732-3254",
            "fax_number": "712-732-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA MANOR CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "712-732-3254",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IA",
            "license": "0478248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERLY WAIVER RESPITE",
            "identifier": "0478248",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Buena Vista Anesthesia Associates PLC
• Buena Vista Anesthesia Associates PLC
• Buena Vista County (Buena Vista County Public Health & Home Care)
• Buena Vista County
• Buena Vista County Community Services
• Buena Vista Manor, Inc. (Buena Vista Manor)
• Buena Vista Manor, Inc.
• Buena Vista Regional Medical Center (Buena Vista Regional Medical Center Homecare)
• Buena Vista Regional Medical Center
• Buena Vista Regional Medical Center

• Home Health Agency in Storm Lake, IA
• Providers in Storm Lake, IA by specialty
• Home Health Agency in Iowa

• 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.