Provider Demographics
NPI:1821284167
Name:MIDWEST AMES LLC
Entity Type:Organization
Organization Name:MIDWEST AMES LLC
Other - Org Name:THE WATERFORD AT AMES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARROWCLIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-292-2858
Mailing Address - Street 1:1325 COCONINO RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50014-7846
Mailing Address - Country:US
Mailing Address - Phone:515-292-2858
Mailing Address - Fax:515-296-2134
Practice Address - Street 1:1325 COCONINO RD
Practice Address - Street 2:SUITE 300
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50014-7846
Practice Address - Country:US
Practice Address - Phone:515-292-2858
Practice Address - Fax:515-296-2134
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPITAL SENIOR LIVING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAS0041310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0482265Medicaid