WAUKON IA SKILLED NURSING FACILITY, LLC
NPI 1356291546
Assisted Living Facility in Waukon, IA

Active since January 29, 2026
602 2ND ST SW, WAUKON, IA 52172(563) 568-4207 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Waukon Ia Skilled Nursing Facility, Llc NPPES

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

WAUKON IA SKILLED NURSING FACILITY, LLC (NPI 1356291546), doing business as Southcrest Manor Operator, is a healthcare organization registered as an assisted living facility in Waukon, Iowa and active in the NPI registry since January 2026. The organization lists Menachem Shabat, President, as its authorized official.

NPPES Registry Identity

NPI1356291546
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWAUKON IA SKILLED NURSING FACILITY, LLC
Location Address602 2ND ST SWWaukon, IA 52172-2242
Mailing Address602 2nd St SwWaukon, IA 52172-2242
Organization SubpartNo
Authorized OfficialMenachem ShabatPresident · (847) 679-5331
Enumeration DateJanuary 29, 2026
NPPES CertifiedJanuary 29, 2026
NPI 1356291546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
602 2ND ST SW, Waukon, IA 52172

Other Names 1

Doing Business AsSouthcrest Manor Operator

Other Providers at the Same Location NPPES

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

Assisted Living Facility
602 2ND ST SW
WAUKON, IA 52172

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 Waukon Ia Skilled Nursing Facility, LLC's NPI number?

The NPI number for Waukon Ia Skilled Nursing Facility, LLC is 1356291546. It was assigned to this organization in the NPPES registry on January 29, 2026. The provider is doing business as Southcrest Manor Operator.

Where is Waukon Ia Skilled Nursing Facility, LLC located?

Waukon Ia Skilled Nursing Facility, LLC is located at 602 2nd St SW, Waukon, IA 52172. The listed phone number is (563) 568-4207.

What is Waukon Ia Skilled Nursing Facility, 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 Waukon Ia Skilled Nursing Facility, LLC was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.