OrganizationActive
Prairie View Management, Inc.
NPI 1104030378 · Assisted Living Facility · Fayette, IA
Provider details
- NPI number
- 1104030378
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ann Bunn, Administrator(563) 422-5606
- License
- 0748020 (IA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
18569 Lane Road
Fayette, IA 52142-9525
Phone: (563) 422-5606
Fax: (563) 422-5607
Street-level locationGet directions
Mailing address
18569 Lane Road
Fayette, IA 52142-9525
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.