Organization Active NPI

PPRC, LLC

Doing business as Garden View Place

  • Assisted Living Facility
  • Monona, IA
National Provider Identifier
1982647053
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PPRC, LLC
Doing business as
Garden View Place
Practice address
800 Darby Drive
Monona, IA 52159
Phone
(563) 794-4628
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Allen Marvin Phillips
Title
Owner
Phone
(319) 360-4863

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALPC S0215 IA
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

800 Darby Drive
Monona, IA 52159

Mailing address

800 Darby Drive
Monona, IA 52159
Phone (563) 794-4628

Other identifiers 1

IdentifierTypeStateIssuer
ALPC S0215OtherIAALPC

Other names 1

  • Garden View Place Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D1068656Garden View Place800 Darby Drive, Monona, IA 52159Certificate of waiverMay 16, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1982647053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 DARBY DRIVE",
            "city": "MONONA",
            "state": "IA",
            "postal_code": "52159",
            "telephone_number": "563-794-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 DARBY DRIVE",
            "city": "MONONA",
            "state": "IA",
            "postal_code": "52159",
            "telephone_number": "563-794-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPRC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-360-4863"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "ALPC S0215",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALPC",
            "identifier": "ALPC S0215",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden View Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monona, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.