HANDICAP VILLAGE (NPI# 1548317944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548317944 |
| Entity Type | Organization |
| Organization Name | HANDICAP VILLAGE |
| Other Organization Name | OPPORTUNITY VILLAGE |
| Practice Address |
1200 N 9th St W Clear Lake IA 50428-1100 |
| Mailing Address |
Po Box 622 Clear Lake IA 50428-0622 |
| Practice Telephone | 6413575277 |
| Mailing Telephone | 6413575277 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GREGORY BRAUN (CFO) |
| Authorized Official Telephone | 6413551200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0882084 | 05 |
| Other Name | Type Code |
|---|---|
| Opportunity Village | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1619337706 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2016-03-02 |
| 1528428612 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2016-03-02 |
| 1427418516 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2016-03-02 |
| 1336509421 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2016-03-02 |
| 1154781243 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2016-03-02 |
| 1063872158 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2016-03-02 |
| 1891160305 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2015-12-09 |
| 1003280884 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2015-11-17 |
| 1669709622 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1470 21st Ave N, Fort Dodge, IA 50501-7114 | 2009-11-12 |
| Street Address |
1200 N 9TH ST W |
| City | CLEAR LAKE |
| State | IA |
| Zip Code | 50428-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619337706 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2016-03-02 |
| 1528428612 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2016-03-02 |
| 1427418516 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2016-03-02 |
| 1336509421 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2016-03-02 |
| 1154781243 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2016-03-02 |
| 1063872158 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2016-03-02 |
| 1891160305 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2015-12-09 |
| 1003280884 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2015-11-17 |
| 1538281217 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2007-04-04 |
| 1730201419 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912528266 | One Vision | Intermediate Care Facility, Mentally Retarded | 755 Pebblestone Lane, Garner, IA 50428 | 2020-04-28 |
| 1780228270 | Laura Lee Wilcke | Behavioral Analyst | 1020 Buddy Holly Place, Clear Lake, IA 50428 | 2019-10-29 |
| 1578120978 | Jon Secory | Pharmacist | 20 S. 4th St, Clear Lake, IA 50428 | 2019-05-22 |
| 1285109207 | Julie Livingston | Registered Nurse | Thrifty White Drug, 1907 Us Highway 18 East, Clear Lake, IA 50428 | 2018-10-05 |
| 1720580277 | Kelly Nieman | Nurse Practitioner | 1410 6th Ave South, Clear Lake, IA 50428 | 2018-03-01 |
| 1427439892 | Christopher Fischer | Physical Therapist | 7 S 8th St Ste C, Clear Lake, IA 50428 | 2015-06-11 |
| 1609114958 | Hasco Inc. | Pharmacy | 8 North 4th St, Clear Lake, IA 50428 | 2013-01-22 |
| 1295097970 | Alexander Macrae Harvin | Radiology | 5095 S Shore Dr, Clear Lake, IA 50428 | 2012-06-08 |
| 1679707947 | Integrative Medicine Consultants, Inc. | Physician Assistant | 507 Main Avenue, Clear Lake, IA 50428 | 2009-05-14 |
| 1326204686 | Anjali S. Henry | Pediatrics | 418 North Shore Drive, Clear Lake, IA 50428 | 2008-08-05 |
| Find all providers in zip 50428 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316098015 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912528266 | One Vision | Intermediate Care Facility, Mentally Retarded | 755 Pebblestone Lane, Garner, IA 50428 | 2020-04-28 |
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1003460312 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 143 16th Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1811541121 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 2620 33rd Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1952767162 | G & G Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 602 Kosciusko St., Guttenberg, IA 52052-0967 | 2016-01-05 |
| 1487920351 | Mosaic | Intermediate Care Facility, Mentally Retarded | 835 S 7th St, Forest City, IA 50436-2127 | 2012-03-26 |
| 1306112271 | Mosaic | Intermediate Care Facility, Mentally Retarded | 102 Kellys Ct, Forest City, IA 50436-2245 | 2012-03-26 |
| 1710253687 | Mosaic | Intermediate Care Facility, Mentally Retarded | 105 Kellys Ct, Forest City, IA 50436-2245 | 2012-03-26 |
| 1831465715 | Mosaic | Intermediate Care Facility, Mentally Retarded | 315 Country Club Dr, Belmond, IA 50421-1740 | 2012-03-26 |
| 1851666820 | Mosaic | Intermediate Care Facility, Mentally Retarded | 718 S 13th St, Nevada, IA 50201-2435 | 2012-03-09 |
| Find all providers with the same taxonomy | ||||
| City | CLEAR LAKE |
| Zip Code | 50428 |
Please comment or provide details below to improve the information on HANDICAP VILLAGE.
| 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.