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GARNETT PLACE RETIREMENT COMMUNITY NPI 1437362886


NPI Information

NPI: 1437362886
Provider Name: GARNETT PLACE RETIREMENT COMMUNITY
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 16D1064303

Address:
208 35TH STREET DR SE
CEDAR RAPIDS, IA
ZIP 52403
Phone: (319) 362-3630
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GARNETT PLACE RETIREMENT COMMUNITY is an assisted living facility in Cedar Rapids, 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. GARNETT PLACE RETIREMENT COMMUNITY NPI is 1437362886. The provider is registered as an organization entity type.

The provider's business location address is:

208 35TH STREET DR SE
CEDAR RAPIDS, IA
ZIP 52403-357
Phone: (319) 362-3630
Fax: (319) 247-5791

The provider's authorized official is Malcom Sigler .
The authorized official title is Manager and has the following contact phone number (319) 362-3630.

The CLIA number assigned to this NPI record is 16D1064303 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 8/14/2007.


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
1310400000XAssisted Living FacilityS0113IOWAYes

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
10470203MEDICAIDIOWA

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: 11/14/2023

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