Provider Demographics
NPI:1588738918
Name:CLEARVIEW ESTATES
Entity type:Organization
Organization Name:CLEARVIEW ESTATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMERON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:641-464-0651
Mailing Address - Street 1:500 W COLUMBUS ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT AYR
Mailing Address - State:IA
Mailing Address - Zip Code:50854-1100
Mailing Address - Country:US
Mailing Address - Phone:641-464-0651
Mailing Address - Fax:641-464-0655
Practice Address - Street 1:500 W COLUMBUS ST
Practice Address - Street 2:
Practice Address - City:MOUNT AYR
Practice Address - State:IA
Practice Address - Zip Code:50854-1100
Practice Address - Country:US
Practice Address - Phone:641-464-0651
Practice Address - Fax:641-464-0655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAS0100310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0230508Medicaid