FHC OF STORM LAKE IOWA INC (NPI# 1558415943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558415943 |
| Entity Type | Organization |
| Organization Name | FHC OF STORM LAKE IOWA INC |
| Other Organization Name | FAITH HOPE & CHARITY |
| Practice Address |
1815 W Milwaukee Ave Storm Lake IA 50588-0243 |
| Mailing Address |
Po Box 243 Storm Lake IA 50588-0243 |
| Practice Telephone | 7127325127 |
| Practice Fax Number | 7127326002 |
| Mailing Telephone | 7127325127 |
| Mailing Fax Number | 7127326002 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. THOMAS G DANIELS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7127325117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | IMR439 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0880674 | 05 |
| Other Name | Type Code |
|---|---|
| Faith Hope & Charity | Doing Business As Name - Organization |
| Street Address |
1815 W MILWAUKEE AVE |
| City | STORM LAKE |
| State | IA |
| Zip Code | 50588-0243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327173 | Joanne Alvorez | Social Worker | 728 Erie Street, Storm Lake, IA 50588 | 2020-08-19 |
| 1023481165 | Krauth Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1 Colonial Circle, Storm Lake, IA 50588 | 2015-11-12 |
| 1992129605 | Martin Health Services LLC | Pharmacy | 1229 Lake Ave, Storm Lake, IA 50588 | 2014-02-17 |
| 1487948824 | John Gary Armstrong | Surgery | 210 East 5th St, Storm Lake, IA 50588 | 2011-06-02 |
| 1235447871 | New Directions for Mental Health, LLC | Social Worker | 808 Michigan St., Suite A, Storm Lake, IA 50588 | 2010-09-16 |
| 1659555225 | Hy Vee Inc | Pharmacy | 606 Lake Avenue, Suite A, Storm Lake, IA 50588 | 2007-12-19 |
| 1134311616 | Madison County Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1624 Lake Ave Ste 1, Storm Lake, IA 50588 | 2007-08-17 |
| 1356402754 | Rex Michael Shearer | Dentist | 217 West 6th, Storm Lake, IA 50588 | 2006-12-12 |
| 1639242209 | Gregory G Hansen | Dentist | 217 West 6th Street, Storm Lake, IA 50588 | 2006-11-15 |
| 1174536585 | Rick Alan Martin | Dentist | 720 Tornado Drive, Storm Lake, IA 50588 | 2006-08-15 |
| Find all providers in zip 50588 | ||||
| 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 |
|---|---|---|---|---|
| 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 | STORM LAKE |
| Zip Code | 50588 |
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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.