Provider Demographics
NPI:1275363103
Name:ACCURA HEALTHCARE OF CRESTON
Entity type:Organization
Organization Name:ACCURA HEALTHCARE OF CRESTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
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:515-963-1125
Mailing Address - Street 1:4344 CORPORATE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-5907
Mailing Address - Country:US
Mailing Address - Phone:612-289-8250
Mailing Address - Fax:
Practice Address - Street 1:1000 E HOWARD ST
Practice Address - Street 2:
Practice Address - City:CRESTON
Practice Address - State:IA
Practice Address - Zip Code:50801-2723
Practice Address - Country:US
Practice Address - Phone:641-782-5012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility