Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Buena Vista Manor, Inc

Organization Nursing Facility/Intermediate Care Facility · NPI 1912993841

Buena Vista Manor, Inc is a Nursing Facility/Intermediate Care Facility in Storm Lake, Iowa. Licensed in Iowa. Registered with an NPI since 2005.

Licensed in
IA
In the registry since
2005
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1325 Lake Ave
Storm Lake, IA 50588-1907
Phone: (712) 732-3254
Fax: (712) 732-1990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 165596 (IA)
Nursing Facility/Intermediate Care Facility Taxonomy 313M00000X · Licence 110129 (IA)
Respite Care Taxonomy 385H00000X · Licence 0478248 (IA)

Record details

NPI number1912993841
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Carlson — General Manager · (515) 223-6064
Other names Buena Vista Manor Care Center Inc.
NPI enumeratedSeptember 26, 2005
Last updated in NPPESJuly 20, 2011
Mailing address1325 Lake Ave, Storm Lake, IA 50588-1907

Other providers in Storm Lake