1. Home
  2. Directory
  3. NPI Profile

SCENIC ACRES
NPI 1093937260
Community Based Residential Treatment Facility, Mental Illness in Saint Olaf, IA

Active since May 03, 2007CLIA 16D0859638 · Waiver
23105 GRANITE AVENUE, SAINT OLAF, IA 52074(563) 245-2640(563) 245-1945 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scenic Acres NPPES

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

SCENIC ACRES (NPI 1093937260) is a healthcare organization registered as a community based residential treatment facility, mental illness in Saint Olaf, Iowa and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Sandra F. Seifert, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093937260
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameSCENIC ACRES
Location Address23105 GRANITE AVENUESaint Olaf, IA 52074-8049
Mailing Address23105 Granite AvenueSaint Olaf, IA 52074-8049 · (563) 245-2640 · Fax (563) 245-1945
Phone(563) 245-2640
Fax(563) 245-1945
Organization SubpartNo
Authorized OfficialSandra F. SeifertAdministrator · (563) 245-2640
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093937260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in IA · 0418152
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
23105 GRANITE AVENUE, Saint Olaf, IA 52074
Open in Google Maps ↗

Other Identifiers 1

Medicaid0418152IA

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 16D0859638

Scenic Acres Residential Care · Saint Olaf, IA
Active · expires Aug 31, 2026
CLIA Number16D0859638
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLisa Pavlovec
Laboratory Phone(563) 245-2640
Laboratory LocationScenic Acres Residential Care23105 Granite Avenue, Saint Olaf, IA 52072
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Scenic Acres's NPI number?

The NPI number for Scenic Acres is 1093937260. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Scenic Acres located?

Scenic Acres is located at 23105 Granite Avenue, Saint Olaf, IA 52074. The listed phone number is (563) 245-2640.

What is Scenic Acres's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Does Scenic Acres hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0859638) 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 Scenic Acres was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.