Ccrc of Altoona LLC
NPI 1558799031 · Skilled Nursing Facility · Altoona, IA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ccrc of Altoona LLC is a Skilled Nursing Facility organization in Altoona, IA (NPI 1558799031).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Other names (DBA / former)
- Doing business as
- Prairie Vista Village
Registry dates
- Enumerated
- 2013-10-21
- Last updated
- 2015-03-18
Frequently asked questions
- What is Ccrc of Altoona LLC's NPI number?
- Ccrc of Altoona LLC's National Provider Identifier (NPI) is 1558799031, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ccrc of Altoona LLC?
- Ccrc of Altoona LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Ccrc of Altoona LLC located?
- Ccrc of Altoona LLC's practice location on file with NPPES is 2785 1st Ave S, Altoona, IA 50009-8820.
- What is Ccrc of Altoona LLC's phone number?
- The practice phone number listed in the NPPES registry for Ccrc of Altoona LLC is (515) 967-8700.
- Does Ccrc of Altoona LLC accept Medicare?
- Ccrc of Altoona LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ccrc of Altoona LLC?
- The authorized official listed on Ccrc of Altoona LLC's NPPES record is Scott Gulledge, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ccrc of Altoona LLC's NPI active?
- Yes — Ccrc of Altoona LLC's NPI (1558799031) is active in the NPPES registry as of the last update on 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.