Healthcare Provider Details

I. General information

NPI: 1205049087
Provider Name (Legal Business Name): NEWTON VILLAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 N 5TH AVE W
NEWTON IA
50208-3190
US

IV. Provider business mailing address

7171 OHMS LN
EDINA MN
55439-2142
US

V. Phone/Fax

Practice location:
  • Phone: 641-792-0115
  • Fax: 641-792-0226
Mailing address:
  • Phone: 952-855-5041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State

VIII. Authorized Official

Name: SEELOCHANI STADTHERR
Title or Position: AVP, REVENUE CYCLE MANAGEMENT
Credential:
Phone: 952-855-5041