PRAIRIE VISTA VILLAGE
NPI 1558799031
Skilled Nursing Facility in Altoona, IA

Active since October 21, 2013CLIA Certified · 2 labs
5/5
Overall Rating
2785 1ST AVE S, ALTOONA, IA 50009(515) 967-8700(515) 967-6032 Get Directions Write a Review

NPPES record last updated: March 18, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Prairie Vista Village NPPES

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

PRAIRIE VISTA VILLAGE (NPI 1558799031) is a healthcare organization registered as a skilled nursing facility in Altoona, Iowa and active in the NPI registry since October 2013. The organization holds 2 active CLIA laboratory certificates and lists Scott E Gulledge, Manager, as its authorized official.

NPPES Registry Identity

NPI1558799031
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCCRC OF ALTOONA LLC
Location Address2785 1ST AVE SAltoona, IA 50009-8820
Mailing Address11827 W 112th St, Ste 103Overland Park, KS 66210-2726 · (913) 890-4782 · Fax (913) 956-6564
Fax(515) 967-6032
Organization SubpartNo
Authorized OfficialScott E GulledgeManager · (913) 890-4782
Enumeration DateOctober 21, 2013
Last NPPES UpdateMarch 18, 2015
NPI 1558799031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
2785 1ST AVE S, Altoona, IA 50009

Other Names 1

Doing Business AsPrairie Vista Village

Other Identifiers 2

Medicaid0800115IA
Medicare OSCAR/certification165610IA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 16D2074450

Ccrc Of Altoona, LLC Dba Prairie Vista Village · Altoona, IA
Active · expires Mar 9, 2028
CLIA Number16D2074450
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorJohn Freeman
Laboratory Phone(515) 967-8700
Laboratory LocationCcrc Of Altoona, LLC Dba Prairie Vista Village2785 1st Avenue S, Altoona, IA 50009
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 16D2198014

Ccrc Of Altoona, LLC Dba Prairie Vista Village · Altoona, IA
Active · expires Oct 28, 2026
CLIA Number16D2198014
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorJohn Freeman
Laboratory Phone(515) 967-8700
Laboratory LocationCcrc Of Altoona, LLC Dba Prairie Vista Village2785 1st Ave South, Altoona, IA 50009
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Prairie Vista Village (CMS certification number 165610), from CMS Care Compare.

Prairie Vista Village

Nursing home · Altoona, IA
5/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number165610
Certified Beds46 beds41 residents per day on average
Medicare & Medicaid Participant SinceSeptember 6, 2014
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
16
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.95 · LPN 0.28 · RN 1.12
4.34 hrs per resident per day
Weekend Nurse Staffing
3.87 hrs per resident per day
Physical Therapist Staffing
0.13 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
55.6%
Registered Nurse Turnover
55.6%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
2
Infection-Control Citations
1
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Ccrc Of Altoona LLC's NPI number?

The NPI number for Ccrc Of Altoona LLC is 1558799031. It was assigned to this organization in the NPPES registry on October 21, 2013. The provider is doing business as Prairie Vista Village.

Where is Ccrc Of Altoona LLC located?

Ccrc Of Altoona LLC is located at 2785 1st Ave S, Altoona, IA 50009. The listed phone number is (515) 967-8700.

What is Ccrc Of Altoona LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Ccrc Of Altoona LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Ccrc Of Altoona LLC a Medicare-certified nursing home?

Yes. Prairie Vista Village is a Medicare-certified nursing home with 46 certified beds.

What quality rating does Ccrc Of Altoona LLC have?

CMS rates Prairie Vista Village 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Ccrc Of Altoona LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Ccrc Of Altoona LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ccrc Of Altoona LLC was last updated on March 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.