Healthcare Provider Details

I. General information

NPI: 1043202807
Provider Name (Legal Business Name): CLEARVIEW HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 JEFFERSON ST
CLEARFIELD IA
50840-8071
US

IV. Provider business mailing address

202 JEFFERSON ST
CLEARFIELD IA
50840-8071
US

V. Phone/Fax

Practice location:
  • Phone: 641-336-2333
  • Fax:
Mailing address:
  • Phone: 641-336-2333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberN-315
License Number StateIA

VIII. Authorized Official

Name: JOE ROUTH
Title or Position: ADMINISTRATOR
Credential: LNHA
Phone: 641-336-2333