Provider Demographics
NPI:1386642510
Name:ADAIR HEALTHCARE CENTER
Entity Type:Organization
Organization Name:ADAIR HEALTHCARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOWIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GROFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-888-2923
Mailing Address - Street 1:608 NORTH ST
Mailing Address - Street 2:BOX 92A
Mailing Address - City:ADAIR
Mailing Address - State:IA
Mailing Address - Zip Code:50002-1126
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:608 NORTH ST
Practice Address - Street 2:BOX 92A
Practice Address - City:ADAIR
Practice Address - State:IA
Practice Address - Zip Code:50002-1126
Practice Address - Country:US
Practice Address - Phone:641-742-3205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAN-706314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0808733Medicaid
IA165317Medicare ID - Type Unspecified