PRAIRIE HILLS AT CLINTON OPERATIONS LLC NPI 1316152564

NPI Information

  • NPI: 1316152564
  • Provider Name: PRAIRIE HILLS AT CLINTON OPERATIONS LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 16D1058138
  • Address: 1701 13TH AVE N
    CLINTON, IA
    ZIP 52732
  • Phone: (563) 243-6870

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NPI Details

PRAIRIE HILLS AT CLINTON OPERATIONS LLC is an assisted living facility in Clinton, 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 CLINTON OPERATIONS LLC NPI is 1316152564. The provider is registered as an organization entity type.

The provider's business location address is:

1701 13TH AVE N
CLINTON, IA
ZIP 52732-341
Phone: (563) 243-6870
Fax: (563) 242-0404

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

The CLIA number assigned to this NPI record is 16D1058138 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 8/22/2020.

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

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
10733121MEDICAIDIOWA

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: 3/30/2025

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