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Premier Estates 504, LLC

Nursing Facility/Intermediate Care Facility in Grundy Center, IA · enumerated 2016 · authorized official Jamie Culp, Controller.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063878767

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Registry record

Entity type Organization (Type 2)
Legal business name Premier Estates 504, LLC
Other name <Unavail>
Practice address 102 E J Ave, Grundy Center, IA, 50638
Phone (319) 824-5436
Fax (319) 824-5808
Enumeration date Jan 11, 2016
Last updated in NPPES Jun 10, 2016

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License 380377 (IA) Primary

Authorized official

Name Jamie Culp
Title Controller
Phone (941) 758-4745

Other identifiers

Identifier Type State Issuer
0800181 Medicaid IA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-06-10. Verify at npiregistry.cms.hhs.gov.
Where is Premier Estates 504, LLC located?
The practice location on file with NPPES is in Grundy Center, IA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-06-10.