Provider Demographics
NPI:1366437188
Name:SCENIC LIVING COMMUNITIES INC
Entity type:Organization
Organization Name:SCENIC LIVING COMMUNITIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:BACKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-890-4980
Mailing Address - Street 1:1409 N FREMONT ST
Mailing Address - Street 2:
Mailing Address - City:IOWA FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50126-1319
Mailing Address - Country:US
Mailing Address - Phone:641-648-4671
Mailing Address - Fax:641-648-4673
Practice Address - Street 1:1409 N FREMONT ST
Practice Address - Street 2:
Practice Address - City:IOWA FALLS
Practice Address - State:IA
Practice Address - Zip Code:50126-1395
Practice Address - Country:US
Practice Address - Phone:641-648-4671
Practice Address - Fax:641-648-4673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-19
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA420232314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0803577Medicaid
IA165472Medicare Oscar/Certification