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SHENANDOAH IOWA ASSISTE LIVING FACILITY LLC NPI 1083041206


NPI Information

NPI: 1083041206
Provider Name: SHENANDOAH IOWA ASSISTE LIVING FACILITY LLC

Doing Business As: WINDSOR MANOR SHENANDOAH

Classification: Alzheimer Center (Dementia Center) - 311500000X
Entity Type: Organization
Address:
601 HARRISON ST
SHENANDOAH, IA
ZIP 51601
Phone: (712) 246-2194
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SHENANDOAH IOWA ASSISTE LIVING FACILITY LLC is an alzheimer center dementia center in Shenandoah, IA. The provider is a freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. SHENANDOAH IOWA ASSISTE LIVING FACILITY LLC NPI is 1083041206. The provider is registered as an organization entity type.
The provider Is Doing Business As Windsor Manor Shenandoah.

The provider's business location address is:

601 HARRISON ST
SHENANDOAH, IA
ZIP 51601-019
Phone: (712) 246-2194
Fax: (712) 246-6182

The provider's authorized official is Elizabeth Ann Marie Mccalla .
The authorized official title is Executive Director and has the following contact phone number (712) 246-2194.

The enumeration date for this NPI number is 10/2/2013 and was last updated on 10/2/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311500000XAlzheimer Center (Dementia Center)S0328IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1S0328OTHERIOWAASSISTED LIVING PROGRAM CERTIFICATE - DEPARTMENT OF INSPECTIONS AND APPEALS

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: 4/28/2024

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