CHARITON GROUP HOME DEVELOP CORP (NPI# 1235258658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235258658 |
| Entity Type | Organization |
| Organization Name | CHARITON GROUP HOME DEVELOP CORP |
| Practice Address |
1221 Brookdale Ave Chariton IA 50049-1531 |
| Mailing Address |
Po Box 462 Chariton IA 50049-1531 |
| Practice Telephone | 6417748252 |
| Mailing Telephone | 6417748252 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DONNA JEAN SMALL (ADM OF GROUP HOME) |
| Authorized Official Telephone | 6417748252 |
| Authorized Official Credential | BA AND BS IN SEC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| Street Address |
1221 BROOKDALE AVE |
| City | CHARITON |
| State | IA |
| Zip Code | 50049-1531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952838633 | Kimberly Dawn Pace | Counselor | 115 S. Main St, Chariton, IA 50049 | 2017-05-12 |
| 1790801314 | Northridge Assisted Living, LLC | Assisted Living Facility | 1110 North 6th Street, Chariton, IA 50049 | 2007-03-22 |
| 1710019054 | David John Randall | Dentist | 818 Braden Avenue, Chariton, IA 50049 | 2007-03-12 |
| 1417015595 | Rodney R Stream | Dentist | 934 N 7th Street, Chariton, IA 50049 | 2006-12-04 |
| 1497062558 | Peter Kenneth Hoftiezer | Family Medicine | 1200 N 7th St, Chariton, IA 50049 | 2010-09-09 |
| 1477648376 | Juanita Louise Durham | Nurse Practitioner | 1030 N 7th St, Chariton, IA 50049-1206 | 2006-10-04 |
| 1780665240 | Circle of Friends Home Care | Home Health | 1010 N 7th St, Chariton, IA 50049-1206 | 2005-11-10 |
| 1558847749 | Caregivers of Chariton, LLC | Home Health | 1010 N 7th St, Chariton, IA 50049-1206 | 2018-07-11 |
| 1447741483 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 1030 N 7th St, Chariton, IA 50049-1206 | 2018-05-25 |
| 1942516471 | Red Haw Family Medical Center, PC | Obstetrics & Gynecology | 1030 N 7th St, Chariton, IA 50049-1206 | 2010-08-21 |
| Find all providers in zip 50049 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical 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 |
|---|---|---|---|---|
| 1134648561 | Neuro Rehabcare of Waterloo LLC | Residential Treatment Facility, Physical Disabilities | 35 Rachael St, Waterloo, IA 50701-5124 | 2017-09-18 |
| 1417322728 | Good Samaritan Society | Residential Treatment Facility, Physical Disabilities | 721 S Kiel St, Holstein, IA 51025-5041 | 2015-12-11 |
| 1366589004 | Brees Rest Home Inc | Residential Treatment Facility, Physical Disabilities | 210 Washington Ave E, Albia, IA 52531 | 2007-01-31 |
| 1619030988 | Pella Regional Health Center | Residential Treatment Facility, Physical Disabilities | 408 Jefferson St, Pella, IA 50219-1257 | 2006-12-18 |
| 1194999094 | Iowa School for The Deaf | Residential Treatment Facility, Physical Disabilities | 3501 Harry Langdon Blvd, Council Bluffs, IA 51503-7837 | 2008-04-22 |
Please comment or provide details below to improve the information on CHARITON GROUP HOME DEVELOP CORP.
| 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.