SIOUXLAND RESIDENTIAL SERVICES INC (NPI# 1396888236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396888236 |
| Entity Type | Organization |
| Organization Name | SIOUXLAND RESIDENTIAL SERVICES INC |
| Practice Address |
1815 Pierce Street Sioux City IA 51105 |
| Mailing Address |
Po Box 1047 Sioux City IA 51102-1047 |
| Practice Telephone | 7122341055 |
| Practice Fax Number | 7122340574 |
| Mailing Telephone | 7122341055 |
| Mailing Fax Number | 7122340574 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES W RIXNER (DIRECTOR) |
| Authorized Official Telephone | 7122341055 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
970952 | IA | Nursing & Custodial Care Facilities |
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
970988 | IA | Nursing & Custodial Care Facilities |
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
970984 | IA | Nursing & Custodial Care Facilities |
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
970948 | IA | Nursing & Custodial Care Facilities |
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
970953 | IA | Nursing & Custodial Care Facilities |
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
970971 | IA | Nursing & Custodial Care Facilities |
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
970977 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0894147 | 05 | |
| IA | 0896860 | 05 | |
| IA | 0896928 | 05 | |
| IA | 0245795 | 05 | |
| IA | 0896878 | 05 | |
| IA | 0894139 | 05 | |
| IA | 0894113 | 05 | |
| IA | 0894121 | 05 |
| Street Address |
1815 PIERCE STREET |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902454465 | Andrea Marie Parman | Dietitian, Registered | Hy-vee #1615 3301 Gordon Drive, Sioux City, IA 51105 | 2019-08-28 |
| 1457727505 | Live Well Home Care LLC | In Home Supportive Care | 519 12th St, Sioux City, IA 51105 | 2015-08-12 |
| 1124403654 | Nicole Anne Keegan | Counselor | 1221 Pierce Street, Sioux City, IA 51105 | 2015-07-27 |
| 1063495810 | Siouxland Paramedics Inc | Ambulance | 1701 Terminal Drive, Sioux City, IA 51105 | 2005-11-25 |
| 1003461518 | Mvp Integrative Health | Counselor | 1221 Pierce Street, Sioux City, IA 51105 | 2019-08-02 |
| 1356718811 | Courtney Anderson | Counselor | 1221 Pierce St, Sioux City, IA 51105 | 2015-08-31 |
| 1861664583 | Deborha E Kindig | Licensed Practical Nurse | 1021 Nebraska St, Sioux City, IA 51105 | 2008-04-02 |
| 1861678997 | Elizabeth Kelly Wessling | Physician Assistant | 1021 Nebraska Street, Sioux City, IA 51105 | 2008-01-18 |
| 1881795771 | Mary E Bachman | Counselor | 1021 Nebraska Street, Sioux City, IA 51105 | 2006-09-26 |
| 1326080433 | Clifford W Wilkinson | Physician Assistant | 1021 Nebraska St, Sioux City, IA 51105 | 2006-06-12 |
| Find all providers in zip 51105 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314827 | Peacetree Community Living LLC | Assisted Living Facility | 7515 Nw 16th St, Ankeny, IA 50023-8807 | 2020-07-27 |
| 1124237276 | K & J Enterprises | Assisted Living Facility | 391-335th Street, Perry, IA 50220-7542 | 2007-05-22 |
| 1598974743 | Gt Enterprises | Assisted Living Facility | 19501 180th Street, Perry, IA 50220-6330 | 2007-05-22 |
| 1245387299 | Mallard View Inc | Assisted Living Facility | 17504 Mahogany Ave, Carroll, IA 51401-8870 | 2007-01-04 |
| 1518163278 | Hillcrest Family Services | Assisted Living Facility | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2007-06-21 |
| City | SIOUX CITY |
| Zip Code | 51105 |
Please comment or provide details below to improve the information on SIOUXLAND RESIDENTIAL SERVICES INC.
| 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.