PRAIRIE VIEW MANAGEMENT INC. NPI 1477634236

NPI Information

NPI: 1477634236
Provider Name: PRAIRIE VIEW MANAGEMENT, INC.
Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization
CLIA Number: 16D0857499
Address: 18569 LANE RD
FAYETTE, IA
ZIP 52142
Phone: (563) 422-5606

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NPI Details

PRAIRIE VIEW MANAGEMENT, INC. is a custodial care facility in Fayette, IA. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. PRAIRIE VIEW MANAGEMENT, INC. NPI is 1477634236. The provider is registered as an organization entity type.

The provider's business location address is:

18569 LANE RD
FAYETTE, IA
ZIP 52142-525
Phone: (563) 422-5606
Fax: (563) 422-5607

The provider's authorized official is Ann Bunn .
The authorized official title is Administrator and has the following contact phone number (563) 422-5606.

The CLIA number assigned to this NPI record is 16D0857499 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2006 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
1	311Z00000X	Custodial Care Facility		R-279	IOWA	Yes

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
1	0893800	MEDICAID	IOWA
2	1234484	MEDICAID	IOWA
3	0107847	MEDICAID	IOWA

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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