Provider Demographics
NPI:1629695416
Name:ACCURA HEALTHCARE OF SHENANDOAH
Entity Type:Organization
Organization Name:ACCURA HEALTHCARE OF SHENANDOAH
Other - Org Name:ACCURA HEALHCARE OF SHENANDOAH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TED
Authorized Official - Middle Name:
Authorized Official - Last Name:LENEAVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-421-4878
Mailing Address - Street 1:1370 NW 114TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-7008
Mailing Address - Country:US
Mailing Address - Phone:515-421-4878
Mailing Address - Fax:515-963-1081
Practice Address - Street 1:1203 S ELM ST
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:IA
Practice Address - Zip Code:51601-2221
Practice Address - Country:US
Practice Address - Phone:712-246-4627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-29
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility