Active NPI
Elkader Nursing Home Company LLC
- Skilled Nursing Facility
- Elkader, IA
National Provider Identifier
1780802017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 220240
- Legal business name
- ELKADER NURSING HOME COMPANY LLC
- Practice address
- 116 Reimer St SW
Elkader, IA 52043-9558 - Phone
- (563) 245-1620
- Fax
- (563) 245-2198
- NPI assigned
- Apr 23, 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
- Mr. Donald L Chensvold
- Title
- Manager
- Phone
- (319) 362-8916
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 220240 | IA | Primary |
Addresses
Primary practice location
116 Reimer St SW
Elkader, IA 52043-9558
Mailing address
PO Box 519
Elkader, IA 52043-0519
Phone (563) 245-1620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0195552 | Medicaid | IA |
Other names 1
- Elkader Care Center
National Provider Directory
National Provider Directory- Tax ID family
- Elkader Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Elkader, IA
- NPI 1710100193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780802017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 519",
"city": "ELKADER",
"state": "IA",
"postal_code": "520430519",
"telephone_number": "563-245-1620",
"fax_number": "563-245-2198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 REIMER ST SW",
"city": "ELKADER",
"state": "IA",
"postal_code": "520439558",
"telephone_number": "563-245-1620",
"fax_number": "563-245-2198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELKADER NURSING HOME COMPANY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHENSVOLD",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "319-362-8916",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IA",
"license": "220240",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0195552",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Elkader Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elkader, 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.