Eventide
Eventide is a Custodial Care Facility in Denison, Iowa. Licensed in Iowa. Registered with an NPI since 2005.
- Licensed in
- IA
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
114 S 20th StDenison, IA 51442-2251 Not confirmed with CMS for 13 years — call before visiting
Phone: (712) 263-3114
Fax: (712) 263-8819
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|---|
| Custodial Care Facility | Taxonomy 311Z00000X · Licence 0890475 (IA) |
| Nursing Facility/Intermediate Care Facility | Taxonomy 313M00000X |
Record details
| NPI number | 1417944265 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mindi Baker — Administrator · (712) 263-3114 |
| Other names | Eventide Lutheran Home For The Aged |
| NPI enumerated | October 5, 2005 |
| Last updated in NPPES | October 17, 2013 |
| Mailing address | 114 S 20th St, Denison, IA 51442-2251 |
Clinicians affiliated with this facility
- John D. Ingram, MD Family Medicine Physician · Denison, IA
- Jill Kierscht, NP Nurse Practitioner · Denison, IA
- John Lothrop III, MD Family Medicine Physician · Denison, IA
- Michael P Luft, DO Family Medicine Physician · Denison, IA
- Patrick Luft Family Medicine Physician · Denison, IA
- Brian Douglas Moran, MD Internal Medicine Physician · Dubuque, IA