EVANS MEMORIAL HOME NPI 1407073893

NPI Information

  • NPI: 1407073893
  • Provider Name: EVANS MEMORIAL HOME
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: CRESCO ASSISTED LIVING
  • CLIA Number: 16D1042690
  • Address: 1004 N ELM ST
    CRESCO, IA
    ZIP 52136
  • Phone: (563) 547-2580

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NPI Details

EVANS MEMORIAL HOME is an assisted living facility in Cresco, 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. EVANS MEMORIAL HOME NPI is 1407073893. The provider is registered as an organization entity type.
The provider Is Doing Business As Cresco Assisted Living.

The provider's business location address is:

1004 N ELM ST
CRESCO, IA
ZIP 52136-097
Phone: (563) 547-2580
Fax: (563) 547-5013

The provider's authorized official is Donald L Chensvold .
The authorized official title is Manager and has the following contact phone number (319) 362-8916.

The CLIA number assigned to this NPI record is 16D1042690 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2007 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 FacilityS0210IOWAYes

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
10461590MEDICAIDIOWA

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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