PROMEDICA SKILLED NURSING AND REHABILITATION (WATERLOO)
NPI 1003854944
Skilled Nursing Facility in Waterloo, IA

Active since June 03, 2006CLIA 10D0864247 · Waiver
201 W RIDGEWAY AVE, WATERLOO, IA 50701(319) 234-7777(319) 234-6671 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2023, Feb 11, 2022, Jan 27, 2022 and 1 more (4 updates tracked since 2017).

About Promedica Skilled Nursing And Rehabilitation (waterloo) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROMEDICA SKILLED NURSING AND REHABILITATION (WATERLOO) (NPI 1003854944) is a healthcare organization registered as a skilled nursing facility in Waterloo, Iowa and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Martin D Allen, Director, as its authorized official.

NPPES Registry Identity

NPI1003854944
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMANOR CARE OF WATERLOO IA, LLC
Location Address201 W RIDGEWAY AVEWaterloo, IA 50701-4235
Mailing Address333 N Summit StToledo, OH 43604-2615 · (419) 252-5500 · Fax (877) 385-9446
Fax(319) 234-6671
Organization SubpartNo
Authorized OfficialMartin D AllenDirector · (419) 252-5734
Enumeration DateJune 3, 2006
Last NPPES UpdateApril 6, 20234 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
NPI 1003854944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IA · NF-361
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
201 W RIDGEWAY AVE, Waterloo, IA 50701

Other Names 1

Doing Business AsPromedica Skilled Nursing And Rehabilitation (waterloo)

Other Identifiers 1

Medicaid0800005IA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0864247

Manor Care Of Boca Raton Fl LLC · Boca Raton, FL
Active · expires Aug 31, 2026
CLIA Number10D0864247
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMiriam Levy
Laboratory Phone(419) 252-5500
Laboratory LocationManor Care Of Boca Raton Fl LLC375 NW 51st St, Boca Raton, FL 33431
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
201 W RIDGEWAY AVE
WATERLOO, IA 50701
Nurse Practitioner (Gerontology)
201 W RIDGEWAY AVE
WATERLOO, IA 50701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manor Care Of Waterloo Ia, LLC's NPI number?

The NPI number for Manor Care Of Waterloo Ia, LLC is 1003854944. It was assigned to this organization in the NPPES registry on June 3, 2006. The provider is doing business as Promedica Skilled Nursing And Rehabilitation (waterloo).

Where is Manor Care Of Waterloo Ia, LLC located?

Manor Care Of Waterloo Ia, LLC is located at 201 W Ridgeway Ave, Waterloo, IA 50701. The listed phone number is (319) 234-7777.

What is Manor Care Of Waterloo Ia, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Manor Care Of Waterloo Ia, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0864247) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Manor Care Of Waterloo Ia, LLC was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.