OrganizationActive
Ccrc of Altoona LLC
NPI 1558799031 · Skilled Nursing Facility · Altoona, IA
Provider details
- NPI number
- 1558799031
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Scott Gulledge, Manager(913) 890-4782
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2785 1st Ave S
Altoona, IA 50009-8820
Phone: (515) 967-8700
Fax: (515) 967-6032
Approximate (ZIP-level) locationGet directions
Mailing address
11827 W 112th St
Overland Park, KS 66210-2726
Other names (DBA / former)
- Doing business as
- Prairie Vista Village
Registry dates
- Enumerated
- 2013-10-21
- Last updated
- 2015-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.