COUNTRY WINDS MANOR INC. NPI 1104914639

NPI Information

  • NPI: 1104914639
  • Provider Name: COUNTRY WINDS MANOR, INC.
  • Classification: Alzheimer Center (Dementia Center) - 311500000X
  • Entity Type: Organization
  • Doing Business As: PATTY ELWOOD CENTER
  • Address: 21668 80TH ST
    CRESCO, IA
    ZIP 52136
  • Phone: (563) 547-2398

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NPI Details

COUNTRY WINDS MANOR, INC. is an alzheimer center dementia center in Cresco, 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. COUNTRY WINDS MANOR, INC. NPI is 1104914639. The provider is registered as an organization entity type.
The provider Is Doing Business As Patty Elwood Center.

The provider's business location address is:

21668 80TH ST
CRESCO, IA
ZIP 52136-412
Phone: (563) 547-2398
Fax: (563) 547-4274

The provider's authorized official is Patrick D Ogden .
The authorized official title is Administrator and has the following contact phone number (563) 547-2398.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 10/6/2016.

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
1311500000XAlzheimer Center (Dementia Center)CCDI-478IOWAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10809079MEDICAIDIOWA
2165527MEDICARE OSCAR/CERTIFICATIONIOWA

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: 11/21/2025

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