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PRAIRIE HILLS AT DES MOINES OPERATIONS LLC NPI 1851626410


NPI Information

NPI: 1851626410
Provider Name: PRAIRIE HILLS AT DES MOINES OPERATIONS LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 16D1101734

Address:
5815 SE 27TH ST
DES MOINES, IA
ZIP 50320
Phone: (515) 256-9143
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PRAIRIE HILLS AT DES MOINES OPERATIONS LLC is an assisted living facility in Des Moines, 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 DES MOINES OPERATIONS LLC NPI is 1851626410. The provider is registered as an organization entity type.

The provider's business location address is:

5815 SE 27TH ST
DES MOINES, IA
ZIP 50320-759
Phone: (515) 256-9143

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

The CLIA number assigned to this NPI record is 16D1101734 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2009 and was last updated on 10/14/2009.


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 FacilityIOWAYes

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: 4/28/2024

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