HOPE HAVEN AREA DEVELOPMENT CENTER CORPORATION (NPI# 1215061197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215061197 |
| Entity Type | Organization |
| Organization Name | HOPE HAVEN AREA DEVELOPMENT CENTER CORPORATION |
| Other Organization Name | WOODLAKE GROUP HOME |
| Practice Address |
1901 Racine Ave Burlington IA 52601-2246 |
| Mailing Address |
828 N 7th St Burlington IA 52601-4921 |
| Practice Telephone | 3197544689 |
| Mailing Telephone | 3197544689 |
| Mailing Fax Number | 3197540045 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2019-04-15 |
| Authorized Official Name | RON CHRISTENSEN (DIRECTOR OF PROGRAMS) |
| Authorized Official Telephone | 3192371308 |
| 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 |
| Other Name | Type Code |
|---|---|
| Woodlake Group Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801920525 | Hope Haven Area Development Center Corporation | Community/Behavioral Health | 828 N 7th St, Burlington, IA 52601-4921 | 2007-03-15 |
| 1477687986 | Hope Haven Area Development Center Corporation | Day Training, Developmentally Disabled Services | 3711 Lennox Ave, Burlington, IA 52601-2233 | 2007-03-15 |
| 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 |
| 1205326238 | Hope Haven Area Development Center Corporation | Day Training, Developmentally Disabled Services | 828 N 7th St, Burlington, IA 52601-4921 | 2018-05-15 |
| 1720447063 | Hope Haven Area Development Center Corporation | Home Health | 828 N 7th St, Burlington, IA 52601-4921 | 2016-02-15 |
| 1467632398 | Hope Haven Area Development Center Corporation | Day Training, Developmentally Disabled Services | 828 N 7th St, Burlington, IA 52601-4921 | 2007-11-08 |
| 1487778544 | Hope Haven Area Development Center Corporation | Day Training, Developmentally Disabled Services | 3711 Lennox Ave, Burlington, IA 52601-2233 | 2007-03-16 |
| 1295859353 | Hope Haven Area Development Center Corporation | Day Training, Developmentally Disabled Services | 3711 Lennox Ave, Burlington, IA 52601-2233 | 2007-03-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | HOPE HAVEN AREA DEVELOPMENT CENTER CORPORATION | 828 North 7th Street, Burlington, IA 52601 |
| Street Address |
1901 RACINE AVE |
| City | BURLINGTON |
| State | IA |
| Zip Code | 52601-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748017 | Quentin Eugene Hill | Technician | 528 South 7th St, Burlington, IA 52601 | 2020-04-02 |
| 1619320645 | Alisa Nicole Smith | Social Worker | 409 N. 4th St., Burlington, IA 52601 | 2016-07-14 |
| 1568870020 | Denise Reichman | Registered Nurse | 2509 Sunrise Ln, Burlington, IA 52601 | 2014-07-29 |
| 1891131355 | Ainsley Joyce Fedler | Speech-Language Pathologist | 9302 Glenmark Drive, Burlington, IA 52601 | 2013-05-10 |
| 1851640932 | Melissa A Rupp | Optometrist | 1035 Lawrence Drive, Suite 106, Burlington, IA 52601 | 2012-09-05 |
| 1508123068 | Advanced Home Health Care | Home Health | 550 S. Roosevelt, Burlington, IA 52601 | 2012-04-20 |
| 1144591926 | David Eric Johnson | Pharmacist | 201 South Central, Burlington, IA 52601 | 2012-01-25 |
| 1548537525 | Michael James Colgan | Pharmacist | 3245 Agency Street, Burlington, IA 52601 | 2011-11-19 |
| 1881971190 | Elaine Frances Lehman | Counselor | 724 North 3rd St., Burlington, IA 52601 | 2011-11-15 |
| 1992086508 | Jacqueline Gwen Robbins | Counselor | 4715 Sullivan Slough Road, Burlington, IA 52601 | 2011-09-09 |
| Find all providers in zip 52601 | ||||
| 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 |
|---|---|---|---|---|
| 1184812422 | Quest Services, Inc. | Intermediate Care Facility, Mentally Retarded | 1310 Housatonic St, Burlington, KS 66839-2261 | 2007-10-11 |
| 1356406953 | Ralph Scott Lifeservices Inc | Intermediate Care Facility, Mentally Retarded | 408 W Trade Street, Burlington, NC 27217-2400 | 2006-12-26 |
| 1093862195 | Ralph Scott Lifeservices Inc | Intermediate Care Facility, Mentally Retarded | 408 W Trade Street, Burlington, NC 27217-2400 | 2007-01-04 |
| 1285781385 | Ralph Scott Lifeservices Inc | Intermediate Care Facility, Mentally Retarded | 408 W Trade Street, Burlington, NC 27217-2400 | 2007-01-04 |
| 1386791473 | Ralph Scott Lifeservices Inc | Intermediate Care Facility, Mentally Retarded | 408 W Trade Street, Burlington, NC 27217-2400 | 2007-01-04 |
| 1831254374 | Ralph Scott Lifeservices Inc | Intermediate Care Facility, Mentally Retarded | 408 W Trade Street, Burlington, NC 27217-2400 | 2006-12-26 |
| 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 | BURLINGTON |
| Zip Code | 52601 |
Please comment or provide details below to improve the information on HOPE HAVEN AREA DEVELOPMENT CENTER CORPORATION.
| 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.