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BLACK HAWK NURSING AND REHABILITATION, LLC
NPI 1538631817
Intermediate Care Facility, Mental Illness in Waterloo, IA

Active since December 26, 2018
1410 W DUNKERTON RD, WATERLOO, IA 50703(319) 291-2509 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Dec 26, 2018 (2 updates tracked since 2018).

About Black Hawk Nursing And Rehabilitation, Llc NPPES

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

BLACK HAWK NURSING AND REHABILITATION, LLC (NPI 1538631817) is a healthcare organization registered as an intermediate care facility, mental illness in Waterloo, Iowa and active in the NPI registry since December 2018. The organization lists Amira Krvavac, Ar Director, as its authorized official.

NPPES Registry Identity

NPI1538631817
Entity TypeOrganization
Primary Taxonomy310500000X
Legal Business NameBLACK HAWK NURSING AND REHABILITATION, LLC
Location Address1410 W DUNKERTON RDWaterloo, IA 50703-9648
Mailing Address7366 N Lincoln Ave Ste 301Lincolnwood, IL 60712-1740 · (847) 494-0089
Phone(319) 291-2509
Organization SubpartNo
Authorized OfficialAmira KrvavacAr Director · (224) 470-2657
Enumeration DateDecember 26, 2018
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1538631817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code310500000X
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
1410 W DUNKERTON RD, Waterloo, IA 50703
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Other Providers at the Same Location NPPES 6

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

ELEVATE CCBHC LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1410 W DUNKERTON RD
WATERLOO, IA 50703
Black Hawk County (319) 423-9738
BLACK HAWK NURSING AND REHABILITATION, LLC
Skilled Nursing Facility
1410 W DUNKERTON RD
WATERLOO, IA 50703
Black Hawk County (319) 291-2509
COUNTY OF BLACKHAWK
Skilled Nursing Facility
1410 W DUNKERTON RD
WATERLOO, IA 50703
Black Hawk County (319) 291-2509
DR. DAWN TYA CHAPIN DPM
Podiatrist
1410 W DUNKERTON RD
WATERLOO, IA 50703
Black Hawk County (877) 674-1211
BLACK HAWK NURSING AND REHABILITATION, LLC
Intermediate Care Facility, Intellectual Disabilities
1410 W DUNKERTON RD
WATERLOO, IA 50703
Black Hawk County (319) 291-2509
LEAH MICHELLE LONGNECKER MA, CF-SLP
Speech-Language Pathologist
1410 W DUNKERTON RD
WATERLOO, IA 50703
Black Hawk County (319) 291-2509

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 Black Hawk Nursing And Rehabilitation, LLC's NPI number?

The NPI number for Black Hawk Nursing And Rehabilitation, LLC is 1538631817. It was assigned to this organization in the NPPES registry on December 26, 2018.

Where is Black Hawk Nursing And Rehabilitation, LLC located?

Black Hawk Nursing And Rehabilitation, LLC is located at 1410 W Dunkerton Rd, Waterloo, IA 50703. The listed phone number is (319) 291-2509.

What is Black Hawk Nursing And Rehabilitation, LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

When was this NPI record last updated?

The NPPES record for Black Hawk Nursing And Rehabilitation, LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.