CENTER VILLAGE, INC. (NPI# 1376670034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376670034 |
| Entity Type | Organization |
| Organization Name | CENTER VILLAGE, INC. |
| Practice Address |
19248 Maple Ave Keosauqua IA 52565-8288 |
| Practice Telephone | 3192933107 |
| Practice Fax Number | 3192933885 |
| Mailing Telephone | 3192933107 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-16 |
| Authorized Official Name | MRS. KARLA N WINSLOW (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3192933107 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 0895839 | IA | Residential Treatment Facilities |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 890403 | IA | Residential Treatment Facilities |
| Street Address |
19248 MAPLE AVE |
| City | KEOSAUQUA |
| State | IA |
| Zip Code | 52565-8288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326327438 | Elizabeth Nell Cain | Nurse Practitioner | 307 Franklin Street, Keosauqua, IA 52565 | 2011-08-07 |
| 1750502449 | Gary Dean Debner | Physical Therapist | 18813 Hwy 1, Keosauqua, IA 52565 | 2007-05-01 |
| 1326269283 | Van Buren County Hospital | Ambulance | 304 Franklin Street, Keosauqua, IA 52565 | 2007-05-01 |
| 1609921857 | Radiology Associates of Ottumwa, P.C. | Radiology | Highway 1 North, Keosauqua, IA 52565 | 2007-01-25 |
| 1356325864 | Charles Arthur Handy | Dentist | 716 1st Street, Keosauqua, IA 52565 | 2005-11-30 |
| 1093743114 | Timothy James Blair | Family Medicine | 701 Broad Street, Suite 2, Keosauqua, IA 52565 | 2006-06-29 |
| 1386720563 | County of Van Buren | Home Health | 905 Broad St Courthouse, Keosauqua, IA 52565-0514 | 2006-10-31 |
| 1821088485 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 819 Country Lane Rd, Keosauqua, IA 52565-1001 | 2005-10-25 |
| 1982082418 | Keosauqua Health Care Center LLC | Skilled Nursing Facility | 819 Country Lane Rd, Keosauqua, IA 52565-1001 | 2015-05-17 |
| 1013344191 | Aegis | Skilled Nursing Facility | 819 Country Lane Rd, Keosauqua, IA 52565-1001 | 2013-10-03 |
| Find all providers in zip 52565 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174976757 | North Iowa Juvenile Detention Services | Community Based Residential Treatment Facility, Mental Illness | 1440 W Dunkerton Rd, Waterloo, IA 50703-9648 | 2016-07-19 |
| 1982096608 | Resources for Human Development,inc. | Community Based Residential Treatment Facility, Mental Illness | 1146 Blairs Ferry Rd Ne, Suite 2, Cedar Rapids, IA 52402-1274 | 2015-03-04 |
| 1447658984 | Judy Alexander | Community Based Residential Treatment Facility, Mental Illness | 2219 W Hills Dr, Fairfield, IA 52556-4739 | 2014-12-16 |
| 1861824617 | Kingston Hill, Inc. | Community Based Residential Treatment Facility, Mental Illness | 202 12th St Nw, Cedar Rapids, IA 52405-3913 | 2013-08-04 |
| 1043554629 | Dac, Inc | Community Based Residential Treatment Facility, Mental Illness | 18720 250th Ave, Bellevue, IA 52031-8202 | 2012-11-20 |
| 1093937260 | Scenic Acres | Community Based Residential Treatment Facility, Mental Illness | 23105 Granite Avenue, Saint Olaf, IA 52074-8049 | 2007-05-03 |
| 1184745424 | Urban Dreams | Community Based Residential Treatment Facility, Mental Illness | 1410 6th Ave, Des Moines, IA 50314-2801 | 2007-04-03 |
| 1013044643 | Community Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 13241 County Home Road, E23, Scotch Grove, IA 52310 | 2007-02-28 |
| 1104951193 | Partnership for Progress | Community Based Residential Treatment Facility, Mental Illness | 60191 Willow St, Atlantic, IA 50022-8172 | 2007-02-22 |
| 1134264807 | Exceptional Persons, Inc | Community Based Residential Treatment Facility, Mental Illness | 1210 Idaho St, Waterloo, IA 50703-4328 | 2007-02-21 |
| Find all providers with the same taxonomy | ||||
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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.