Healthcare Provider Details
I. General information
NPI: 1275363103
Provider Name (Legal Business Name): ACCURA HEALTHCARE OF CRESTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/06/2024
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 E HOWARD ST
CRESTON IA
50801-2723
US
IV. Provider business mailing address
4344 CORPORATE DR STE 100
WEST DES MOINES IA
50266-5907
US
V. Phone/Fax
- Phone: 641-782-5012
- Fax:
- Phone: 612-289-8250
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
TED
LENEAVE
Title or Position: CEO
Credential:
Phone: 515-963-1125