SCENIC ACRES NPI 1508930660

NPI Information

  • NPI: 1508930660
  • Provider Name: SCENIC ACRES
  • Classification: Custodial Care Facility - 311Z00000X
  • Entity Type: Organization
  • CLIA Number: 16D0859638
  • Address: 23105 GRANITE AVE
    SAINT OLAF, IA
    ZIP 52072
  • Phone: (563) 245-2640

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NPI Details

SCENIC ACRES is a custodial care facility in Saint Olaf, 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. SCENIC ACRES NPI is 1508930660. The provider is registered as an organization entity type.

The provider's business location address is:

23105 GRANITE AVE
SAINT OLAF, IA
ZIP 52072-049
Phone: (563) 245-2640
Fax: (563) 245-1945

The provider's authorized official is Sandra F. Seifert .
The authorized official title is Administrator and has the following contact phone number (563) 245-2640.

The CLIA number assigned to this NPI record is 16D0859638 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2006 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
1311Z00000XCustodial Care Facility0895078IOWAYes

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
10895078MEDICAIDIOWA

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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