REGENCY PARK NURSING AND REHABILITATION CENTER OF JEFFERON
NPI 1699824979
Skilled Nursing Facility in Jefferson, IA

Active since January 09, 2007CLIA 16D0382833 · Waiver
100 RAM DR, JEFFERSON, IA 50129(515) 386-4107(515) 386-2347 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Regency Park Nursing And Rehabilitation Center Of Jefferon NPPES

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

REGENCY PARK NURSING AND REHABILITATION CENTER OF JEFFERON (NPI 1699824979) is a healthcare organization registered as a skilled nursing facility in Jefferson, Iowa and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Matthew Allen Carpenter, Administrator, as its authorized official.

NPPES Registry Identity

NPI1699824979
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameREGENCY PARK NURSING AND REHABILITATION CENTER OF JEFFERON
Location Address100 RAM DRJefferson, IA 50129-2728
Mailing Address100 Ram DrJefferson, IA 50129-2728 · (515) 386-4107 · Fax (515) 386-2347
Fax(515) 386-2347
Organization SubpartNo
Authorized OfficialMatthew Allen CarpenterAdministrator · (515) 386-4107
Enumeration DateJanuary 9, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1699824979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IA · 370034
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.
100 RAM DR, Jefferson, IA 50129

Other Identifiers 1

Medicaid0650390IA

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 16D0382833

Regency Park Nursing And Rehabilitation Center Of Jefferson · Jefferson, IA
Active · expires Aug 31, 2026
CLIA Number16D0382833
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTasha Westphal
Laboratory Phone(515) 386-4107
Laboratory LocationRegency Park Nursing And Rehabilitation Center Of Jefferson100 Ram Drive, Jefferson, IA 50129
CLIA data matches this NPI record on: Address Phone
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.

Skilled Nursing Facility
100 RAM DR
JEFFERSON, IA 50129
Skilled Nursing Facility
100 RAM DR
JEFFERSON, IA 50129
Skilled Nursing Facility
100 RAM DR
JEFFERSON, IA 50129
Physical Therapy Assistant
100 RAM DR
JEFFERSON, IA 50129

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 Regency Park Nursing And Rehabilitation Center Of Jefferon's NPI number?

The NPI number for Regency Park Nursing And Rehabilitation Center Of Jefferon is 1699824979. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Regency Park Nursing And Rehabilitation Center Of Jefferon located?

Regency Park Nursing And Rehabilitation Center Of Jefferon is located at 100 Ram Dr, Jefferson, IA 50129. The listed phone number is (515) 386-4107.

What is Regency Park Nursing And Rehabilitation Center Of Jefferon's specialty?

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

Does Regency Park Nursing And Rehabilitation Center Of Jefferon hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0382833) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Regency Park Nursing And Rehabilitation Center Of Jefferon was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.