OrganizationActive
Country Lane Manor LLC
NPI 1073347902 · Skilled Nursing Facility · Keosauqua, IA
Provider details
- NPI number
- 1073347902
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Joseph Glatzer, Authorized Representative(848) 757-0550
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
819 Country Lane Rd
Keosauqua, IA 52565-1001
Phone: (319) 293-3761
Street-level locationGet directions
Mailing address
819 Country Lane Rd
Keosauqua, IA 52565-1001
Registry dates
- Enumerated
- 2024-09-02
- Last updated
- 2024-09-02
- Certified
- 2024-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.