Pioneer Place Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0061 Issued in IA

Legal business name

PIONEER PLACE ASSISTED LIVING

Practice address

415 E Pioneer Rd
Lone Tree, IA 52755-9709

Phone

(319) 629-4255

NPI assigned

Oct 17, 2006

Last updated

Aug 22, 2020By 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

Cris Vetter

Title

Administrator

Phone

(319) 629-4255

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Lone Tree Health Care Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Lone Tree Health Care Center

  • Skilled Nursing Facility
  • Lone Tree, IA
  • NPI 1972688620
  NPD tax ID
• Lone Tree Health Care Center Inc.

  • Skilled Nursing Facility
  • Lone Tree, IA
  • NPI 1831178821
  NPD tax ID

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932289253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E PIONEER RD",
            "city": "LONE TREE",
            "state": "IA",
            "postal_code": "527559709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E PIONEER RD",
            "city": "LONE TREE",
            "state": "IA",
            "postal_code": "527559709",
            "telephone_number": "319-629-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PLACE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "CRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "319-629-4255"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197848",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chris Michael Gass, PTA
• Heather Mae Haug, PA
• Lone Tree Community Schools
• Lone Tree Health Care Center
• Lone Tree Health Care Center Inc.
• Kiley Roder
• State University of Iowa (UI Family Care Lone Tree)
• Denise Torres
• Gene A Zdrazil, D.C.

• Assisted Living Facility in Lone Tree, IA
• Providers in Lone Tree, 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 Aug 22, 2020; 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.