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GRAND HAVEN LLC
NPI 1174716542
Assisted Living Facility in Eldridge, IA

Active since August 20, 2007CLIA 16D1070762 · Waiver
201 EAST FRANKLIN ST, ELDRIDGE, IA 52748(563) 285-4900(563) 285-4911 Get Directions Write a Review

NPPES record last updated: August 20, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Haven Llc NPPES

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

GRAND HAVEN LLC (NPI 1174716542) is a healthcare organization registered as an assisted living facility in Eldridge, Iowa and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through July 8, 2027 and lists Joni Fahrenkrog, Manager, as its authorized official.

NPPES Registry Identity

NPI1174716542
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGRAND HAVEN LLC
Location Address201 EAST FRANKLIN STEldridge, IA 52748
Mailing Address201 E. Franklin StEldridge, IA 52748 · (563) 285-4900 · Fax (563) 285-4911
Phone(563) 285-4900
Fax(563) 285-4911
Organization SubpartNo
Authorized OfficialJoni FahrenkrogManager · (563) 285-4900
Enumeration DateAugust 20, 2007
✔ NPI 1174716542 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 · S0260
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.
201 EAST FRANKLIN ST, Eldridge, IA 52748
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Other Identifiers 1

OtherS0260IA · Assisted Living

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 16D1070762

Grand Haven Retirement Community · Eldridge, IA
Active · expires Jul 8, 2027
CLIA Number16D1070762
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorDaniel Collins
Laboratory Phone(563) 285-4900
Laboratory LocationGrand Haven Retirement Community201 East Franklin Street, Eldridge, IA 52748
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 Grand Haven LLC's NPI number?

The NPI number for Grand Haven LLC is 1174716542. It was assigned to this organization in the NPPES registry on August 20, 2007.

Where is Grand Haven LLC located?

Grand Haven LLC is located at 201 East Franklin St, Eldridge, IA 52748. The listed phone number is (563) 285-4900.

What is Grand Haven LLC's specialty?

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

Does Grand Haven LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1070762) is associated with this NPI, valid through July 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grand Haven LLC was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.