PISIPATI LLC (NPI# 1326317538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326317538 |
| Entity Type | Organization |
| Organization Name | PISIPATI LLC |
| Practice Address |
550 33rd Ave N Clinton IA 52732-1585 |
| Mailing Address |
Po Box 862 Clinton IA 52733-0862 |
| Practice Telephone | 5632420560 |
| Mailing Telephone | 5632190675 |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |
| Authorized Official Name | PRABHAKAR PISIPATI (OWNER) |
| Authorized Official Telephone | 5632190675 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
550 33RD AVE N |
| City | CLINTON |
| State | IA |
| Zip Code | 52732-1585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343240 | Janet R Graf | Technician | 450 South 19th St., Clinton, IA 52732 | 2019-08-29 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1821528423 | Tricia Lee Grimes | Technician | 2349 Dunham St, Clinton, IA 52732 | 2017-06-15 |
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1275829921 | Rebecca Plante | Pharmacist | 1309 N 2nd Street, Clinton, IA 52732 | 2011-06-21 |
| 1639318363 | Ryan P Connell | Chiropractor | 1437 Main Ave, Clinton, IA 52732 | 2009-02-19 |
| Find all providers in zip 52732 | ||||
| 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 |
|---|---|---|---|---|
| 1811336175 | Omni Visions, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4349 King Rd, Clinton, NC 28328-6163 | 2013-06-20 |
| 1932548716 | Omni Visions, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 185 Isaac Rd, Clinton, NC 28328-1118 | 2013-06-14 |
| 1093912099 | Hanger Prosthetics & Orthotics East, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 702 E Ohio St Ste 7, Clinton, MO 64735-2362 | 2007-07-02 |
| 1518296664 | Polus Center for Social & Economic Development | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 134 High St, Clinton, MA 01510-2511 | 2009-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063040111 | Ability United LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 N Adams St, Carroll, IA 51401-2821 | 2020-04-01 |
| 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 | ||||
Please comment or provide details below to improve the information on PISIPATI LLC.
| 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.