Urbandale Health Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

URBANDALE HEALTH CARE CENTER LLC

Practice address

4614 84TH St
Urbandale, IA 50322-1089

Phone

(515) 270-6838

Fax

(515) 278-5693

NPI assigned

Oct 6, 2008

Last updated

Oct 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia Rene Roth

Title

Controller

Phone

(317) 557-1190

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1902057185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 84TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503221089",
            "telephone_number": "515-270-6838",
            "fax_number": "515-278-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 84TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503221089",
            "telephone_number": "515-270-6838",
            "fax_number": "515-278-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBANDALE HEALTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "317-557-1190",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E726",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urbandale Chiropractic DRS Shad B & Jody L England
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• Urbandale Community School District
• Martha Olivia Valadez, BCBA
• Andrea Valerio
• Andrew Vanblair, OTR
• Anna Vandenberg
• Vander Sluis Chiropractic, LLC

• Skilled Nursing Facility in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.