HOPE HAVEN INC (NPI# 1184706566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184706566 |
| Entity Type | Organization |
| Organization Name | HOPE HAVEN INC |
| Other Organization Name | HOPE HAVEN |
| Practice Address |
1800 19th Street Rock Valley IA 51247 |
| Practice Telephone | 7124762737 |
| Practice Fax Number | 7124763110 |
| Mailing Telephone | 7124762737 |
| Mailing Fax Number | 7124763110 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-01-30 |
| Authorized Official Name | MR. DUANE R OBBINK (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7124762737 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 0893065 | IA | Nursing & Custodial Care Facilities |
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 0893073 | IA | Nursing & Custodial Care Facilities |
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 0892745 | IA | Nursing & Custodial Care Facilities |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 0880666 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RCF MR | 0892745 | 01 | |
| HCBS RB SCL | 0096628 | 01 | |
| IA | REMEDIAL | 1103788 | 01 |
| ICF MR | 0880666 | 01 | |
| RCF MR | 0893073 | 01 | |
| RCF MR | 0893065 | 01 | |
| IA | 1560862 | 05 | |
| ARO | 0248252 | 01 | |
| ARO | 0231621 | 01 | |
| IA | 4950121 | 05 |
| Other Name | Type Code |
|---|---|
| Hope Haven | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154545663 | Hope Haven Inc | Community/Behavioral Health | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2007-04-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HOPE HAVEN INC | 508 Bethel St, Clover, SC 29710-1154 |
| Colorado Business Entities | Hope Haven Inc | 11752 W Layton Drive, Morrison, CO 80465 |
| Street Address |
1800 19TH STREET |
| City | ROCK VALLEY |
| State | IA |
| Zip Code | 51247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497930572 | Hope Haven, Inc. | Clinic/Center | 1800 19th St, Rock Valley, IA 51247-1037 | 2008-01-08 |
| 1699195727 | Donna Reit | Counselor | 1800 19th St, Rock Valley, IA 51247-1037 | 2014-04-16 |
| 1164858585 | Margaret Martens | Counselor | 1800 19th St, Rock Valley, IA 51247-1037 | 2013-09-17 |
| 1205184355 | Gale Vanengen | Social Worker | 1800 19th St, Rock Valley, IA 51247-1037 | 2012-08-21 |
| 1336496389 | Darci Robin Philipp Grave | Counselor | 1800 19th St, Rock Valley, IA 51247-1037 | 2012-08-09 |
| 1568777357 | Lejeana Marie Anliker | Counselor | 1800 19th St, Rock Valley, IA 51247-1037 | 2010-08-17 |
| 1902109994 | Doris A Wallenburg | Social Worker | 1505 20th St, Rock Valley, IA 51247-1040 | 2010-12-13 |
| 1366599094 | Rock Valley Community School District | Local Education Agency (LEA) | 1712 20th Ave, Rock Valley, IA 51247-1050 | 2007-01-04 |
| 1982077970 | April Metzger | Counselor | 1800 19th St, Rock Valley, IA 51247-1058 | 2015-11-12 |
| 1851769798 | Lynae Mcmillen Dickeytesdall | Counselor | 1800 19th St, Rock Valley, IA 51247-1058 | 2015-09-09 |
| Find all providers in zip 51247 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
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| 1679920946 | Roy Gonzalez | Nursing Facility/Intermediate Care Facility | 40 Ridgeview Rd, Sioux City, IA 51104-4052 | 2016-05-17 |
| 1609241926 | Monica Wincentsen | Nursing Facility/Intermediate Care Facility | 122 Euclid Ave, Norway, IA 52318 | 2015-12-11 |
| 1003246000 | Keystone Nursing Care Center, Inc | Nursing Facility/Intermediate Care Facility | 280 5th St, Suite 2, Keystone, IA 52249-9533 | 2013-11-13 |
| 1346434826 | Shenandoah Enterprises LLC | Nursing Facility/Intermediate Care Facility | 1201 S Walnut St, Shenandoah, IA 51601-2176 | 2007-08-28 |
| 1952528424 | S.t.l. Care Company | Nursing Facility/Intermediate Care Facility | 1220 5th Ave Se, Cedar Rapids, IA 52403-4049 | 2007-04-19 |
| 1568686236 | Martin Health Center, Inc. | Nursing Facility/Intermediate Care Facility | 420 E 11th St, Cedar Falls, IA 50613-3364 | 2007-04-12 |
| 1548386675 | Longhouse-northshire, Ltd | Nursing Facility/Intermediate Care Facility | 711 W 11th St, Spencer, IA 51301-3237 | 2007-03-21 |
| 1083738132 | Spurgeon Manor, Inc. | Nursing Facility/Intermediate Care Facility | 1204 Linden St, Dallas Center, IA 50063-1052 | 2007-03-16 |
| Find all providers with the same taxonomy | ||||
| City | ROCK VALLEY |
| Zip Code | 51247 |
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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.