PINICON PLACE
NPI 1730550583
Assisted Living Facility in Anamosa, IA

Active since October 19, 2015CLIA 16D0981050 · Waiver
1615 BRECA RIDGE DR, ANAMOSA, IA 52205(319) 462-3070 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pinicon Place NPPES

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

PINICON PLACE (NPI 1730550583) is a healthcare organization registered as an assisted living facility in Anamosa, Iowa and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through December 17, 2026 and lists Peter Tarsney, Authorized Officer, as its authorized official.

NPPES Registry Identity

NPI1730550583
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameANAMOSA AID OPCO LLC
Location Address1615 BRECA RIDGE DRAnamosa, IA 52205-2118
Mailing Address330 N Wabash Ave, Suite 3700Chicago, IL 60611-3586 · (312) 725-7041
Organization SubpartNo
Authorized OfficialPeter TarsneyAuthorized Officer · (312) 725-7041
Enumeration DateOctober 19, 2015
NPI 1730550583 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 · 530956
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.
1615 BRECA RIDGE DR, Anamosa, IA 52205

Other Names 1

Doing Business AsPinicon Place

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 16D0981050

Pinicon Place · Anamosa, IA
Active · expires Dec 17, 2026
CLIA Number16D0981050
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorStephanie Myrberg
Laboratory Phone(319) 462-3070
Laboratory LocationPinicon Place1615 Breca Ridge Dr, Anamosa, IA 52205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Residential Treatment Facility, Physical Disabilities
1615 BRECA RIDGE DR
ANAMOSA, IA 52205

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 Anamosa Aid Opco LLC's NPI number?

The NPI number for Anamosa Aid Opco LLC is 1730550583. It was assigned to this organization in the NPPES registry on October 19, 2015. The provider is doing business as Pinicon Place.

Where is Anamosa Aid Opco LLC located?

Anamosa Aid Opco LLC is located at 1615 Breca Ridge Dr, Anamosa, IA 52205. The listed phone number is (319) 462-3070.

What is Anamosa Aid Opco LLC's specialty?

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

Does Anamosa Aid Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0981050) is associated with this NPI, valid through December 17, 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 Anamosa Aid Opco LLC was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.