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

Active since September 02, 2024
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: July 19, 2026.

  • Organization
  • Skilled Nursing Facility

About COUNTRY LANE MANOR LLC

This page provides the complete NPI Profile along with additional information for Country Lane Manor Llc, a provider established in Keosauqua, Iowa operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1073347902 assigned on September 2024. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Joseph Glatzer (Authorized Representative)

NPI
1073347902 Verify this NPI
Provider Name
COUNTRY LANE MANOR LLC
Entity Type
Organization
Location Address
819 COUNTRY LANE RD KEOSAUQUA, IA 52565
Location Phone
(319) 293-3761
Mailing Address
819 COUNTRY LANE RD KEOSAUQUA, IA 52565
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-02-2024
Last Update Date
09-02-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOSEPH GLATZER

Authorized Official Title
AUTHORIZED REPRESENTATIVE
Authorized Official Phone
(848) 757-0550

Reviews for COUNTRY LANE MANOR LLC

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

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
Skilled Nursing Facility
819 COUNTRY LANE RD
KEOSAUQUA, IA 52565

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073347902, enumerated as an "organization" on September 02, 2024.

The provider is located at 819 COUNTRY LANE RD KEOSAUQUA, IA 52565 and the phone number is (319) 293-3761.

Skilled Nursing Facility with taxonomy code 314000000X.