Provider Demographics
NPI:1841297074
Name:SHEFFIELD CARE CENTER
Entity type:Organization
Organization Name:SHEFFIELD CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:R
Authorized Official - Last Name:RUGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-892-4691
Mailing Address - Street 1:100 BENNETT DR
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:IA
Mailing Address - Zip Code:50475-7741
Mailing Address - Country:US
Mailing Address - Phone:641-892-4691
Mailing Address - Fax:641-892-4451
Practice Address - Street 1:100 BENNETT DR
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:IA
Practice Address - Zip Code:50475-7741
Practice Address - Country:US
Practice Address - Phone:641-892-4691
Practice Address - Fax:641-892-4451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA350857314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0805739Medicaid
IA165384Medicare Oscar/Certification