Provider Demographics
NPI:1790982320
Name:PENN CENTER, INC.
Entity Type:Organization
Organization Name:PENN CENTER, INC.
Other - Org Name:WINDHILL APTS - TRANSITIONAL LIVING
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1563-922-2881
Mailing Address - Street 1:800 1ST ST NW
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52405-2713
Mailing Address - Country:US
Mailing Address - Phone:319-398-3617
Mailing Address - Fax:319-398-3638
Practice Address - Street 1:2235 245TH ST
Practice Address - Street 2:
Practice Address - City:DELHI
Practice Address - State:IA
Practice Address - Zip Code:52223-8407
Practice Address - Country:US
Practice Address - Phone:563-922-2346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0764456Medicaid