Organization Active NPI

Anamosa Aid Opco LLC

  • Assisted Living Facility
  • Anamosa, IA
National Provider Identifier
1730550583
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
530956 Issued in IA
Legal business name
ANAMOSA AID OPCO LLC
Practice address
1615 Breca Ridge Dr
Anamosa, IA 52205-2118
Phone
(319) 462-3070
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Peter Tarsney
Title
Authorized Officer
Phone
(312) 725-7041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 530956 IA Primary

Addresses

Primary practice location

1615 Breca Ridge Dr
Anamosa, IA 52205-2118

Mailing address

330 N Wabash Ave
Suite 3700
Chicago, IL 60611-3586
Phone (312) 725-7041

Other names 1

  • Pinicon Place Doing business as

National Provider Directory

National Provider Directory

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0981050Pinicon Place1615 Breca Ridge Dr, Anamosa, IA 52205Certificate of waiverDec 17, 2026

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1730550583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N WABASH AVE",
            "address_2": "SUITE 3700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113586",
            "telephone_number": "312-725-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 BRECA RIDGE DR",
            "city": "ANAMOSA",
            "state": "IA",
            "postal_code": "522052118",
            "telephone_number": "319-462-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAMOSA AID OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "TARSNEY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICER",
        "authorized_official_telephone_number": "312-725-7041"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "530956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinicon Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anamosa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.