MEDICARE: CHAUTAUQUA GUEST HOMES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	340164	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0215533	OTHER	IA	WOUND CARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	65243	OTHER	IA	BCBS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	0443570001	OTHER	IA	DMERCK-DME

General Provider Information

NPI Number	:	1093708323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHAUTAUQUA GUEST HOMES INC.

Provider Business Mailing Address
First Line	:	302 9TH ST
Second Line	:
City	:	CHARLES CITY
State	:	IA
Zip	:	50616-3615
Country	:	US
Telephone Number	:	641-228-5351
Fax Number	:	641-228-5981

Provider Business Practice Location Address
First Line	:	302 9TH ST
Second Line	:
City	:	CHARLES CITY
State	:	IA
Zip	:	50616-3615
Country	:	US
Telephone Number	:	641-228-5351
Fax Number	:	641-228-5351

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SUSAN J AYERS
Credential	:	RNBC LNHA
Telephone Number	:	641-228-5351

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	11/19/2014

Similar Medicare Providers

1356405146 — COMPREHENSIVE SYSTEMS, INC
Practice Location Address:

310 9TH ST
CHARLES CITY, IA
50616-3615

Practice Phone: 641-228-4842
Practice Fax: 641-228-4675

1811094246 — KEESHA K. HAMPTON O.D.
Practice Location Address:

3615 CHARLES HARDY PKWY
DALLAS, GA
30157-9472

Practice Phone: 770-445-3938
Practice Fax: 770-445-0127

1851515225 — KEESHA K HAMPTON OD PC
Practice Location Address:

3615 CHARLES HARDY PKWY
DALLAS, GA
30157-9472

Practice Phone: 770-445-3938
Practice Fax: 770-445-0127

1356907695 — MC MEDICAL LLC
Practice Location Address:

3615 CHARLES HARDY PKWY STE 200
DALLAS, GA
30157-9472

Practice Phone: 770-863-7200
Practice Fax: 770-505-5690

1174181119 — MC DENTAL LLC
Practice Location Address:

3615 CHARLES HARDY PKWY STE 200
DALLAS, GA
30157-9472

Practice Phone: 770-767-5546
Practice Fax: 770-505-5206

1790347557 — WENDY SUE AMUNDSON MS, LPC
Practice Location Address:

3615 CHARLES HARDY PKWY
DALLAS, GA
30157-9472

Practice Phone: 844-375-7212
Practice Fax:

Directions to “CHAUTAUQUA GUEST HOMES INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.