Organization Active NPI

Acc Enterprise, LLC

Doing business as Cedar Health

  • Skilled Nursing Facility
  • Charles City, IA
National Provider Identifier
1962535161
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
APPLIED FOR Issued in IA
Legal business name
ACC ENTERPRISE, LLC
Doing business as
Cedar Health
Practice address
807 5TH St
Charles City, IA 50616-3303
Phone
(641) 228-1612
Fax
(641) 257-6747
NPI assigned
Mar 14, 2007
Last updated
Sep 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Mr. Dennis Richard Sanvig, R.N.
Title
President
Phone
(641) 228-1612

Specialties & licenses 1

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

Addresses

Primary practice location

807 5TH St
Charles City, IA 50616-3303

Mailing address

807 5TH St
Charles City, IA 50616-3303
Phone (641) 228-1612

Other identifiers 1

IdentifierTypeStateIssuer
0809921MedicaidIA

Other names 1

  • Cedar Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1962535161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 5TH ST",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506163303",
            "telephone_number": "641-228-1612",
            "fax_number": "641-228-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 5TH ST",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506163303",
            "telephone_number": "641-228-1612",
            "fax_number": "641-257-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACC ENTERPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "SANVIG",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-228-1612",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0809921",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charles City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.