Provider Type Icon

GREEN MEADOWS SENIOR LIVING LLC NPI 1194190595


NPI Information

NPI: 1194190595
Provider Name: GREEN MEADOWS SENIOR LIVING, LLC

Doing Business As: EDENCREST AT GREEN MEADOWS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 16D2107867

Address:
6750 CORPORATE DR
JOHNSTON, IA
ZIP 50131
Phone: (515) 207-1984
Get Directions

GREEN MEADOWS SENIOR LIVING, LLC is an assisted living facility in Johnston, 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. GREEN MEADOWS SENIOR LIVING, LLC NPI is 1194190595. The provider is registered as an organization entity type.
The provider Is Doing Business As Edencrest At Green Meadows.

The provider's business location address is:

6750 CORPORATE DR
JOHNSTON, IA
ZIP 50131-659
Phone: (515) 207-1984
Fax: (515) 777-2376

The provider's authorized official is Pat Hanson .
The authorized official title is Manager and has the following contact phone number (515) 207-1984.

The CLIA number assigned to this NPI record is 16D2107867 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/10/2015 and was last updated on 12/10/2015.


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
1310400000XAssisted Living FacilityYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.