MEDICARE: COURTYARD ESTATES AT CEDAR POINTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1114147733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COURTYARD ESTATES AT CEDAR POINTE

Provider Business Mailing Address
First Line	:	6132 NE 12TH AVE
Second Line	:
City	:	PLEASANT HILL
State	:	IA
Zip	:	50327-8402
Country	:	US
Telephone Number	:	515-285-9108
Fax Number	:

Provider Business Practice Location Address
First Line	:	6132 NE 12TH AVE
Second Line	:
City	:	PLEASANT HILL
State	:	IA
Zip	:	50327-8402
Country	:	US
Telephone Number	:	515-285-9108
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. PAT KAYE HANSON
Credential	:	RN
Telephone Number	:	515-285-9108

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	08/22/2020

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