Healthcare Provider Details

I. General information

NPI: 1659522837
Provider Name (Legal Business Name): NEWTON HEALTH CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2008
Last Update Date: 10/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S 8TH AVE E
NEWTON IA
50208-4762
US

IV. Provider business mailing address

200 S 8TH AVE E
NEWTON IA
50208-4762
US

V. Phone/Fax

Practice location:
  • Phone: 641-792-7440
  • Fax: 641-787-0068
Mailing address:
  • Phone: 641-792-7440
  • Fax: 641-787-0068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0805051
Identifier TypeMEDICAID
Identifier StateIA
Identifier Issuer

VIII. Authorized Official

Name: MRS. CYNTHIA RENE ROTH
Title or Position: CONTROLLER
Credential:
Phone: 317-557-1190