PHS WALNUT RIDGE LLC – NPI #1659920320
Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
PHS WALNUT RIDGE LLC is a skilled nursing facility (SNF) located in CLIVE, IA. NPPES has assigned the NPI number 1659920320 to PHS WALNUT RIDGE LLC on September 05, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.
The NPI profile was last updated on Nov 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHS WALNUT RIDGE LLC below.
NPI Profile for
PHS WALNUT RIDGE LLC
(about 7 years ago)
All associated names:
PHS Walnut Ridge LLC.
Walnut Ridge
CLIVE, IA 50325 Phone: (651) 631-6450 Fax: (651) 631-6122
ROSEVILLE, MN 55113-7127 Phone: (651) 631-6432 Fax: (651) 631-6122
CFO
Phone: (651) 631-6102
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 314000000X - Skilled Nursing Facility (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.