Healthcare Provider Details

I. General information

NPI: 1851227698
Provider Name (Legal Business Name): EAGLE RIDGE NURSING AND REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 N KEOKUK WASHINGTON RD
KEOTA IA
52248-9496
US

IV. Provider business mailing address

3320 SW HARRISON ST STE 6
TOPEKA KS
66611-2253
US

V. Phone/Fax

Practice location:
  • Phone: 641-636-3400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: RACHEL SILVER
Title or Position: CFO
Credential:
Phone: 619-876-9252