PRAIRIE HILLS AT OTTUMWA OPERATIONS LLC NPI 1497946628

NPI Information

NPI: 1497946628
Provider Name: PRAIRIE HILLS AT OTTUMWA OPERATIONS LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 16D1069098

Address:
173 E ROCHESTER ST
OTTUMWA, IA
ZIP 52501
Phone: (641) 684-1871
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PRAIRIE HILLS AT OTTUMWA OPERATIONS LLC is an assisted living facility in Ottumwa, IA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PRAIRIE HILLS AT OTTUMWA OPERATIONS LLC NPI is 1497946628. The provider is registered as an organization entity type.

The provider's business location address is:

173 E ROCHESTER ST
OTTUMWA, IA
ZIP 52501
Phone: (641) 684-1871
Fax: (641) 684-5827

The provider's authorized official is Timothy R Hildebrandt .
The authorized official title is Managing Member/owner and has the following contact phone number (641) 472-0518.

The CLIA number assigned to this NPI record is 16D1069098 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 8/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		S0259	IOWA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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