Premier Estates 509, LLC

Skilled Nursing Facility · Shenandoah, IA

Organization Active NPI

NPI number 1184080889

Practice location

1200 W Nishna Rd
Shenandoah, IA 51601-2116
Phone
(712) 246-4515
Fax
(712) 246-5085

Open in Google Maps

NPI record

NPI
1184080889
Entity type
Organization (Type 2)
Enumeration date
January 11, 2016
Last updated
May 13, 2016
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X 730056 IA

Mailing address

5115 E State Road 64
Bradenton, FL 34208-5509
Phone
(941) 758-4745
Fax
(941) 751-2135

Authorized official

Name
Jamie Culp
Title
Controller
Phone
(941) 758-4745

Other names

  • Garden View Care Center

About Premier Estates 509, LLC

Premier Estates 509, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 1200 W Nishna Rd, Shenandoah, IA 51601-2116. The NPI number 1184080889 was assigned on January 11, 2016 and the record was last updated on May 13, 2016.

Premier Estates 509, LLC lists a license in the registry: #730056 (IA) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Jamie Culp, Controller.

Frequently asked questions

What is the NPI number of Premier Estates 509, LLC?

The NPI number is 1184080889.

What is the phone number of Premier Estates 509, LLC?

The phone number listed for the practice location is (712) 246-4515.

Where is Premier Estates 509, LLC located?

1200 W Nishna Rd, Shenandoah, IA 51601-2116.

What is the taxonomy code for Premier Estates 509, LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Skilled Nursing Facility providers in Shenandoah

All Skilled Nursing Facility providers in Shenandoah, IA →