Provider Demographics
NPI:1043577299
Name:CARING ACRES LLC
Entity Type:Organization
Organization Name:CARING ACRES LLC
Other - Org Name:COLONIAL MANOR OF ANITA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-762-3219
Mailing Address - Street 1:1000 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:ANITA
Mailing Address - State:IA
Mailing Address - Zip Code:50020-1027
Mailing Address - Country:US
Mailing Address - Phone:712-762-3219
Mailing Address - Fax:
Practice Address - Street 1:1000 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:ANITA
Practice Address - State:IA
Practice Address - Zip Code:50020-1027
Practice Address - Country:US
Practice Address - Phone:712-762-3219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility