PENNINGTON SQUARE ASSISTED LIVING
NPI 1104049717
Assisted Living Facility in Monticello, IA

Q: What is Monticello Nursing Home Company LLC's NPI number?

The NPI number for Monticello Nursing Home Company LLC is 1104049717. It was assigned to this organization in the NPPES registry on April 11, 2007. The provider is doing business as Pennington Square Assisted Living.

Q: What is Monticello Nursing Home Company LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since April 11, 2007

502 PINEHAVEN DR, MONTICELLO, IA 52310(319) 465-2013(319) 465-3205 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Pennington Square Assisted Living NPPES

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

PENNINGTON SQUARE ASSISTED LIVING (NPI 1104049717) is a healthcare organization registered as an assisted living facility in Monticello, Iowa and active in the NPI registry since April 2007. The organization lists Donald L Chensvold, Manager, as its authorized official.

NPPES Registry Identity

NPI1104049717

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameMONTICELLO NURSING HOME COMPANY LLC

Location Address502 PINEHAVEN DRMonticello, IA 52310-2062

Mailing Address502 Pinehaven DrMonticello, IA 52310-2062 · (319) 465-2013 · Fax (319) 465-3205

Phone(319) 465-2013

Fax(319) 465-3205

Organization SubpartNo

Authorized OfficialDonald L ChensvoldManager · (319) 362-8916

Enumeration DateApril 11, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1104049717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in IA · S0110

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

502 PINEHAVEN DR, Monticello, IA 52310

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Other Names 1

Doing Business AsPennington Square Assisted Living

Other Identifiers 1

Medicaid0280636IA

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 Monticello Nursing Home Company LLC's NPI number?

The NPI number for Monticello Nursing Home Company LLC is 1104049717. It was assigned to this organization in the NPPES registry on April 11, 2007. The provider is doing business as Pennington Square Assisted Living.

Where is Monticello Nursing Home Company LLC located?

Monticello Nursing Home Company LLC is located at 502 Pinehaven Dr, Monticello, IA 52310. The listed phone number is (319) 465-2013.

What is Monticello Nursing Home Company LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Monticello Nursing Home Company LLC 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 6 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.