ON WITH LIFE LONG TERM CARE
NPI 1124875091
Skilled Nursing Facility - Nursing Care, Pediatric in Polk City, IA

Active since April 30, 2024CLIA 16D0913844 · Waiver
1002 W WASHINGTON AVE, POLK CITY, IA 50226(515) 289-9600 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2024, Apr 30, 2024 (2 updates tracked since 2024).

About On With Life Long Term Care NPPES

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

ON WITH LIFE LONG TERM CARE (NPI 1124875091) is a healthcare organization registered as a nursing care, pediatric in Polk City, Iowa and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through April 14, 2028 and lists Erin Luft-wiskus, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1124875091
Entity TypeOrganization
Primary Taxonomy3140N1450X
Legal Business NameON WITH LIFE EXTENDED SERVICES, LTD.
Location Address1002 W WASHINGTON AVEPolk City, IA 50226-2132
Mailing Address715 Sw Ankeny RdAnkeny, IA 50023-5999 · (515) 289-9600
Organization SubpartNo
Authorized OfficialErin Luft-wiskusCredentialing Coordinator · (515) 289-9703
Enumeration DateApril 30, 2024
Last NPPES UpdateJuly 17, 20242 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
NPI 1124875091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities
Taxonomy Code3140N1450X
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
1002 W WASHINGTON AVE, Polk City, IA 50226

Other Names 1

Doing Business AsOn With Life Long Term Care

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 16D0913844

On With Life Long Term Care · Polk City, IA
Active · expires Apr 14, 2028
CLIA Number16D0913844
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorJennifer Lewis
Laboratory Phone(515) 421-9200
Laboratory LocationOn With Life Long Term Care1002 W Washington Ave, Polk City, IA 50226
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Licensed Practical Nurse
1002 W WASHINGTON AVE
POLK CITY, IA 50226
Skilled Nursing Facility
1002 W WASHINGTON AVE
POLK CITY, IA 50226
Skilled Nursing Facility (Nursing Care, Pediatric)
1002 W WASHINGTON AVE
POLK CITY, IA 50226
Skilled Nursing Facility
1002 W WASHINGTON AVE
POLK CITY, IA 50226

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 On With Life Extended Services, Ltd.'s NPI number?

The NPI number for On With Life Extended Services, Ltd. is 1124875091. It was assigned to this organization in the NPPES registry on April 30, 2024. The provider is doing business as On With Life Long Term Care.

Where is On With Life Extended Services, Ltd. located?

On With Life Extended Services, Ltd. is located at 1002 W Washington Ave, Polk City, IA 50226. The listed phone number is (515) 289-9600.

What is On With Life Extended Services, Ltd.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

Does On With Life Extended Services, Ltd. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0913844) is associated with this NPI, valid through April 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for On With Life Extended Services, Ltd. was last updated on July 17, 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.