PLYMOUTH LIFE, INC. (NPI# 1023166576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023166576 |
| Entity Type | Organization |
| Organization Name | PLYMOUTH LIFE, INC. |
| Other Organization Name | PRIDE GROUP, INC. |
| Practice Address |
214 Plymouth St Se Le Mars IA 51031-3631 |
| Practice Telephone | 7125466500 |
| Practice Fax Number | 7125466589 |
| Mailing Telephone | 7125466500 |
| Mailing Fax Number | 7125466589 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2015-01-28 |
| Authorized Official Name | JILLIAN MARIE BRITT (HR MANAGER) |
| Authorized Official Telephone | 7125466500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0769471 | 05 | |
| IA | 0251561 | 05 | |
| IA | 0741983 | 05 | |
| IA | 0242990 | 05 | |
| IA | 0764415 | 05 | |
| IA | 0108423 | 05 | |
| IA | 0245100 | 05 | |
| IA | 0232041 | 05 |
| Other Name | Type Code |
|---|---|
| Pride Group, Inc. | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PLYMOUTH LIFE, INCORPORATED | 1240 Lincoln St Ne, Le Mars, IA 51031 |
| Street Address |
214 PLYMOUTH ST SE |
| City | LE MARS |
| State | IA |
| Zip Code | 51031-3631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871799601 | The Pride Group | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 214 Plymouth St Se, Le Mars, IA 51031-3631 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811394513 | Hope Therapeutic Services | Speech-Language Pathologist | 879 Holton Drive, Lemars, IA 51031 | 2014-11-24 |
| 1245451319 | Richard Lee Cargin | Contractor | 25 6th Ave. Ne, Lemars, IA 51031 | 2007-05-02 |
| 1639222904 | Thomas L Bjorge | Dentist | 35 Plymouth St Ne, Le Mars, IA 51031 | 2007-01-19 |
| 1336296672 | Lemars C.s.d. | Local Education Agency (LEA) | 921 3rd Ave. Se, Lemars, IA 51031 | 2007-01-05 |
| 1922161371 | Joshua S Brower | Dentist | 37 3rd Ave Nw, Lemars, IA 51031 | 2006-12-18 |
| 1659431633 | Thomas Jeneary | Dentist | 827 Holton Drive, Le Mars, IA 51031 | 2006-12-11 |
| 1700953957 | City of Lemars | Ambulance | 25 12th St Se, Lemars, IA 51031 | 2006-11-30 |
| 1235142803 | Monte H Russell | Dentist | 29 Plymouth St Ne, Le Mars, IA 51031 | 2006-08-14 |
| 1811924962 | Hy Vee Inc | Pharmacy | 44 First Ave. Ne, Lemars, IA 51031 | 2006-06-26 |
| 1619922317 | Rodney Dean Schuller | Optometrist | 38 Central Ave Ne, Le Mars, IA 51031 | 2006-05-23 |
| Find all providers in zip 51031 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1881045706 | Golden Touch Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7618 Hickman Rd, Windsor Heights, IA 50324-4510 | 2016-06-22 |
| 1518302801 | The Phoenix Group, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 S 37th St Apt F, Council Bluffs, IA 51501-3284 | 2013-05-01 |
| 1720331739 | The Collaborative Adult Relationship Experiences Group, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2649 Avenue B, Council Bluffs, IA 51501-2105 | 2012-10-16 |
| 1407115645 | Anchor Homes, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 501 N 15th St, Clarinda, IA 51632-1632 | 2012-05-09 |
| 1306115365 | Community Living Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8517 Airline Ave, Urbandale, IA 50322-2317 | 2011-12-21 |
| 1033414826 | Tandem Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Ave Ste D2, Des Moines, IA 50310-5804 | 2011-01-25 |
| 1720284524 | Comprehensive Systems, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1700 Clark Street, Charles City, IA 50616-0457 | 2007-06-27 |
| 1174658637 | Crossroads Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1424 Houser St, Muscatine, IA 52761-2235 | 2007-02-23 |
| 1265578439 | Discovery Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 220 Northland Ct Ne, Cedar Rapids, IA 52402-6226 | 2007-01-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.