Organization Active NPI

Elkader Nursing Home Company LLC

  • Skilled Nursing Facility
  • Elkader, IA
National Provider Identifier
1780802017
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
220240 Issued in IA
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

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
Mr. Donald L Chensvold
Title
Manager
Phone
(319) 362-8916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0195552MedicaidIA

Other names 1

  • Elkader Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elkader Care Center2 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.

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.

Verify at the official NPI Registry.