Healthcare Provider Details

I. General information

NPI: 1497831754
Provider Name (Legal Business Name): RUTHVEN COMMUNITY CARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 EAST MITCHELL
RUTHVEN IA
51358
US

IV. Provider business mailing address

2701 EAST MITCHELL
RUTHVEN IA
51358
US

V. Phone/Fax

Practice location:
  • Phone: 712-837-5411
  • Fax: 712-837-5550
Mailing address:
  • Phone: 712-837-5411
  • Fax: 712-837-5550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberS0147
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number740213
License Number StateIA

VIII. Authorized Official

Name: JIM TOLAND
Title or Position: PRESIDENT
Credential:
Phone: 712-837-5411