Organization Active NPI

Lone Tree Health Care Center

  • Skilled Nursing Facility
  • Lone Tree, IA
National Provider Identifier
1972688620
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N0118 Issued in IA
Legal business name
LONE TREE HEALTH CARE CENTER
Practice address
501 E Pioneer Rd
Lone Tree, IA 52755-7721
Phone
(319) 629-4255
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N0118 IA Primary

Addresses

Primary practice location

501 E Pioneer Rd
Lone Tree, IA 52755-7721

Mailing address

501 E Pioneer Rd
Lone Tree, IA 52755-7721

Other identifiers 1

IdentifierTypeStateIssuer
0200741MedicaidIA

National Provider Directory

National Provider Directory
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.

Locations

501 E Pioneer Rd
Lone Tree, IA 52755
Phone (319) 629-4255

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972688620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E PIONEER RD",
            "city": "LONE TREE",
            "state": "IA",
            "postal_code": "527557721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E PIONEER RD",
            "city": "LONE TREE",
            "state": "IA",
            "postal_code": "527557721",
            "telephone_number": "319-629-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE TREE HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "N0118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0200741",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, IA

Sources for this page

  • 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.