Provider Demographics
NPI:1326003989
Name:ROSEBUSH GARDENS HEALTH CARE CENTER
Entity Type:Organization
Organization Name:ROSEBUSH GARDENS HEALTH CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:
Authorized Official - Last Name:ERICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-752-1200
Mailing Address - Street 1:1212 INDIAN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52601-9406
Mailing Address - Country:US
Mailing Address - Phone:319-752-4100
Mailing Address - Fax:319-754-0011
Practice Address - Street 1:1212 INDIAN HILLS DR
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601-9406
Practice Address - Country:US
Practice Address - Phone:319-752-4100
Practice Address - Fax:319-754-0011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Not Answered314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0805465Medicaid
IA165439Medicare Oscar/Certification