MARION COUNTY CARE FACILITY (NPI# 1629293527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629293527 |
Entity Type | Organization |
Organization Name | MARION COUNTY CARE FACILITY |
Practice Address |
1111 Newbold St Knoxville IA 50138-8605 |
Practice Telephone | 6418280622 |
Practice Fax Number | 6418280622 |
Mailing Telephone | 6418280622 |
Mailing Fax Number | 6418280622 |
Enumeration Date | 2007-04-16 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. RANDALL KELLEY (ADMINISTRATOR) |
Authorized Official Telephone | 6418280622 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 630531 | IA | Residential Treatment Facilities |
Street Address |
1111 NEWBOLD ST |
City | KNOXVILLE |
State | IA |
Zip Code | 50138-8605 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639726607 | Janice Rankin | Technician | 1130 180th Ave, Knoxville, IA 50138 | 2019-08-23 |
1255547832 | Margaret Elaine Ragner | Counselor | 104 South 6th, Knoxville, IA 50138 | 2007-05-14 |
1316161839 | Homestead of Knoxville Operations LLC | Assisted Living Facility | 908 South Park Lane Drive, Knoxville, IA 50138 | 2007-04-13 |
1811066806 | Travis J Egesdal | Dentist | 112 S 1st St, Knoxville, IA 50138 | 2006-11-06 |
1760583520 | Kathryn E De Zwarte | Social Worker | 1515 W Pleasant, Knoxville, IA 50138 | 2006-09-26 |
1821199365 | Scotty Thomas Hagan | Social Worker | 1515 West Pleasant, Knoxville, IA 50138 | 2006-09-26 |
1629175427 | Alicja Marta Pauler | General Practice | 1515 Pleasant St, Knoxville, IA 50138 | 2006-09-20 |
1235199571 | Jane M. Gandy | Physician Assistant | 1607 N Lincoln St, Knoxville, IA 50138 | 2006-03-23 |
1437642071 | Rocky Mountain Holdings, LLC | Ambulance | 1545 Highway 14, Knoxville, IA 50138 | 2018-06-08 |
1427428143 | Jennifer Lorayne Coxe | Nurse Practitioner | 1202 W Howard St, Knoxville, IA 50138 | 2015-10-07 |
Find all providers in zip 50138 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346873056 | Phoenix Choices LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 Salisbury Ln, Knoxville, TN 37934-5096 | 2020-02-20 |
1912182122 | Marion County Care Facility of Community Care, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 210 W Main St, Knoxville, IA 50138-2529 | 2008-01-07 |
1063575173 | Care Focus, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7417 Kingston Pike, Suite 105, Knoxville, TN 37919-5606 | 2006-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750696852 | Community Neurorehab of Iowa | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3000 Sw 37th St, Des Moines, IA 50321-1330 | 2010-08-12 |
1437325693 | Nishna Productions, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 304 W Valley Ave, Shenandoah, IA 51601-1218 | 2008-05-07 |
1184890477 | Nishna Productions, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 100 E Oak St, Red Oak, IA 51566-1544 | 2008-05-06 |
1881890788 | Hope Haven Cottonwood | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 910 Cottonwood Ct Ste 1002, Burlington, IA 52601-1994 | 2007-06-26 |
1407070808 | Country Care Center, Corp | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 725 Highway 59, Harlan, IA 51537-6709 | 2007-04-13 |
1144354614 | Hope Haven Area Development Center Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2205 Northern Dr, Burlington, IA 52601-2256 | 2007-03-15 |
1851425748 | Hope Haven Area Development Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2209 Northern Dr, Burlington, IA 52601-2256 | 2007-03-15 |
1598893406 | Systems Unlimited, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2553 Scott Blvd Se, Iowa City, IA 52240 | 2007-03-01 |
1841327673 | Crossroads of Western Iowa | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1 Crossroads Pl, Missouri Valley, IA 51555-6069 | 2007-02-28 |
1376670034 | Center Village, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 19248 Maple Ave, Keosauqua, IA 52565-8288 | 2007-02-28 |
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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.