Provider Demographics
NPI:1053611707
Name:BRIARWOOD MANAGEMENT INC
Entity type:Organization
Organization Name:BRIARWOOD MANAGEMENT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:SCHMIDT-SOLBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-560-0356
Mailing Address - Street 1:605 GREENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-2121
Mailing Address - Country:US
Mailing Address - Phone:319-338-7912
Mailing Address - Fax:319-351-9225
Practice Address - Street 1:605 GREENWOOD DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-2121
Practice Address - Country:US
Practice Address - Phone:319-338-7912
Practice Address - Fax:319-351-9225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-28
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA520101314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1053611707Medicaid
IA165172Medicare Oscar/Certification