Prairie Hills at Des Moines Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PRAIRIE HILLS AT DES MOINES OPERATIONS LLC

Practice address

5815 SE 27TH St
Des Moines, IA 50320-2759

Phone

(515) 256-9143

NPI assigned

Oct 14, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Timothy R Hildebrandt

Title

Managing Member/Owner

Phone

(641) 472-0518

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1851626410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N 3RD ST STE 206",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562483",
            "telephone_number": "641-472-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 SE 27TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503202759",
            "telephone_number": "515-256-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE HILLS AT DES MOINES OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "HILDEBRANDT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "641-472-0518",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lexy Shantel Powell, DO
• Luke Powell, ARNP
• Zackery Eldon Poyzer
• Ganga Prabhakar, M.D.
• Ashok Rajaram Pradhan, MD
• Praise Transport LLC
• Allison Christine Pratt, DNP, FNP-C
• Harrison W. Pratt II, DO
• Matthew Pratt, CRNA
• Ralph R Pray, M.D.

• Assisted Living Facility in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.