Organization Active NPI

Liebe Inc,

Doing business as Cedar Vale Assisted Living

  • Skilled Nursing Facility
  • Nashua, IA
National Provider Identifier
1790781086
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0718 Issued in IA
Legal business name
LIEBE INC,
Doing business as
Cedar Vale Assisted Living
Practice address
100 Poppe LN
Nashua, IA 50658-9704
Phone
(641) 435-4040
NPI assigned
Jun 22, 2005
Last updated
Sep 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Terra Hillegas
Title
Administrator
Phone
(641) 435-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0718 IA Primary

Addresses

Primary practice location

100 Poppe LN
Nashua, IA 50658-9704

Mailing address

100 Poppe LN
Nashua, IA 50658-9704
Phone (641) 435-4040

Other names 1

  • Cedar Vale Assisted Living Doing business as

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
16D1053867Cedar Vale Assisted Living100 Poppe Lane, Nashua, IA 50658Certificate of waiverMay 7, 2028

National Provider Directory

National Provider Directory

Locations

1014 W 1st St
Sumner, IA 50674
Phone (563) 578-5125

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1790781086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 POPPE LN",
            "city": "NASHUA",
            "state": "IA",
            "postal_code": "506589704",
            "telephone_number": "641-435-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 POPPE LN",
            "city": "NASHUA",
            "state": "IA",
            "postal_code": "506589704",
            "telephone_number": "641-435-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIEBE INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "HILLEGAS",
        "authorized_official_first_name": "TERRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "641-435-4040"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "0718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Vale Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashua, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.