COUNTRY LANE MANOR LLC
NPI 1073347902
Skilled Nursing Facility in Keosauqua, IA

Active since September 02, 2024CLIA 16D0890540 · Waiver
819 COUNTRY LANE RD, KEOSAUQUA, IA 52565(319) 293-3761 Get Directions Write a Review

NPPES record last updated: September 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Country Lane Manor Llc NPPES

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

COUNTRY LANE MANOR LLC (NPI 1073347902) is a healthcare organization registered as a skilled nursing facility in Keosauqua, Iowa and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through August 21, 2028 and lists Joseph Glatzer, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1073347902
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOUNTRY LANE MANOR LLC
Location Address819 COUNTRY LANE RDKeosauqua, IA 52565-1001
Mailing Address819 Country Lane RdKeosauqua, IA 52565-1001
Organization SubpartNo
Authorized OfficialJoseph GlatzerAuthorized Representative · (848) 757-0550
Enumeration DateSeptember 2, 2024
NPPES CertifiedSeptember 2, 2024
✔ NPI 1073347902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
819 COUNTRY LANE RD, Keosauqua, IA 52565

Accepted Insurance

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 16D0890540

Country Lane Manor · Keosauqua, IA
Active · expires Aug 21, 2028
CLIA Number16D0890540
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 22, 2026
Certificate Expiration DateAugust 21, 2028
Laboratory DirectorGenessa Meier
Laboratory Phone(319) 293-3761
Laboratory LocationCountry Lane Manor819 Country Lane Road, Keosauqua, IA 52565
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Skilled Nursing Facility
819 COUNTRY LANE RD
KEOSAUQUA, IA 52565
Skilled Nursing Facility
819 COUNTRY LANE RD
KEOSAUQUA, IA 52565
Custodial Care Facility (Adult Care Home)
819 COUNTRY LANE RD
KEOSAUQUA, IA 52565
Skilled Nursing Facility
819 COUNTRY LANE RD
KEOSAUQUA, IA 52565
Skilled Nursing Facility
819 COUNTRY LANE RD
KEOSAUQUA, IA 52565

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 Country Lane Manor LLC's NPI number?

The NPI number for Country Lane Manor LLC is 1073347902. It was assigned to this organization in the NPPES registry on September 2, 2024.

Where is Country Lane Manor LLC located?

Country Lane Manor LLC is located at 819 Country Lane Rd, Keosauqua, IA 52565. The listed phone number is (319) 293-3761.

What is Country Lane Manor LLC's specialty?

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

Does Country Lane Manor LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0890540) is associated with this NPI, valid through August 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Country Lane Manor LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company list Country Lane Manor LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Country Lane Manor LLC was last updated on September 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.