Park View Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

290250 Issued in IA

Legal business name

PARK VIEW CARE CENTER

Practice address

715 Shoquoquon Dr
Burlington, IA 52601-6634

Phone

(319) 752-4525

Fax

(319) 752-9625

NPI assigned

Jan 26, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Linda Tisdel

Title

Administrator

Phone

(319) 752-4525

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922078286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SHOQUOQUON DR",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526016634",
            "telephone_number": "319-752-4525",
            "fax_number": "319-752-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SHOQUOQUON DR",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526016634",
            "telephone_number": "319-752-4525",
            "fax_number": "319-752-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK VIEW CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TISDEL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "319-752-4525",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "290250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0804997",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS",
            "identifier": "65212",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seth Olson, DPT
• Omaha Vamc
• Laura Kathaleen Orth, PHARMD
• Skylar Pachtinger
• Claudia J Parham, LMSW
• Jeffrey A Pence, DC CCSP CSCS
• Andrea Marcella Perez, PHARMD
• Performance Chiropractic PLLC
• Troi O Perry, MPA
• Kyle Peterson

• Skilled Nursing Facility in Burlington, IA
• Providers in Burlington, 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 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.