NPIMap

Wheatland Manor Inc

Organization Active NPI Assisted Living Facility · Wheatland, IA

NPI 1962629410 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1962629410
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
License
S0171 (IA)
Legal business name
WHEATLAND MANOR INC
Practice address
320 E Lincolnway St
Wheatland, IA 52777-9731
Phone
(563) 374-1711
Fax
(563) 374-1107
NPI assigned
Apr 19, 2007
Organization subpart
No

Authorized official

Name
Mr. Donald L Chensvold
Title
Manager
Phone
(319) 362-8916

Corporate family (same tax ID) 2

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

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D1064974Lincolnway Villa Assisted Living
320 East Lincolnway, PO Box 369, Wheatland, IA 52777		Certificate of waiverFeb 18, 2027

National Provider Directory

Tax ID family
Wheatland Manor (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X S0171 IA Yes

Addresses

Primary practice location

320 E Lincolnway St
Wheatland, IA 52777-9731

Mailing address

PO Box 369
Wheatland, IA 52777-0369
Phone (563) 374-1711

Other identifiers

IdentifierTypeStateIssuer
0286310MedicaidIA

Other names

  • Lincolnway Villa Assisted Living Doing business as

Other providers in Wheatland, IA

All providers in Wheatland, IA · Assisted Living Facility in Iowa

Sources for this page

Verify at the official NPI Registry.