DELAWARE COUNTY COMMUNITY LIFE (NPI# 1437209749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437209749 |
| Entity Type | Organization |
| Organization Name | DELAWARE COUNTY COMMUNITY LIFE |
| Practice Address |
601 Grant Street Manchester IA 52057-2005 |
| Practice Telephone | 5639271077 |
| Mailing Telephone | 5639271077 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KIM GEHLING (COORDINATOR) |
| Authorized Official Telephone | 5639271077 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0138446 | 05 | |
| IA | 0444125 | 05 |
| Street Address |
601 GRANT STREET |
| City | MANCHESTER |
| State | IA |
| Zip Code | 52057-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407386246 | Jennifer Ann Hentges | Social Worker | 118 West Main Professional Park Building, Manchester, IA 52057 | 2017-06-14 |
| 1588193940 | Lucas Richard Fangmann | Physical Therapist | 313 Quaker Mill Dr, Manchester, IA 52057 | 2017-06-08 |
| 1164835138 | Amanda Sue Olberding | Family Medicine | 709 West Main St, Manchester, IA 52057 | 2014-06-08 |
| 1215072723 | Delaware County Community Services | Case Management | 601 Grant St, Manchester, IA 52057 | 2007-02-21 |
| 1841212966 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2006-07-25 |
| 1336105030 | David L James | Chiropractor | 200 N Franklin, Manchester, IA 52057 | 2006-04-22 |
| 1770551814 | Jason N Nolz | Chiropractor | 953 E Main, Manchester, IA 52057 | 2006-03-14 |
| 1538140405 | Thomas Joseph Kafka | Emergency Medicine | Regional Medical Center, 709 West Main St., Manchester, IA 52057 | 2005-11-08 |
| 1255818878 | Melissa Wessels | Chiropractor | 105 E Butler St, Manchester, IA 52057 | 2018-07-26 |
| 1609149749 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2012-02-21 |
| Find all providers in zip 52057 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659879500 | New Paths Counseling and Recovery Services | Community/Behavioral Health | 25 Lowell St Ste 203, Manchester, NH 03101-1647 | 2018-01-25 |
| 1053761270 | Waters Edge Therapy, Inc | Community/Behavioral Health | 127 Worthing Rd, Manchester, ME 04351-3234 | 2016-06-18 |
| 1821400888 | Emdr Training Center LLC | Community/Behavioral Health | 11 Hassam Ct, Manchester, MO 63021-5105 | 2014-05-27 |
| 1053740662 | Mike Lewis | Community/Behavioral Health | 604 College St, Manchester, TN 37355-1769 | 2013-11-04 |
| 1831534213 | Dickerson Enterprise LLC | Community/Behavioral Health | 872 Vernon St, Manchester, CT 06042-2415 | 2013-04-30 |
| 1932386463 | Family Strategies and Services | Community/Behavioral Health | 117 Market St, Manchester, NH 03101-1933 | 2008-01-28 |
| 1225659956 | Extended Family Care LLC | Community/Behavioral Health | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2020-05-05 |
| 1629620976 | Del Marillac Counseling Services, Pllc | Community/Behavioral Health | 35 High St, Manchester, NH 03104-6116 | 2019-07-16 |
| 1205305497 | Elevate Counseling Services LLC | Community/Behavioral Health | 341 Bidwell St, Manchester, CT 06040-6470 | 2018-11-16 |
| 1356818769 | Granite Pathways, Inc. | Community/Behavioral Health | 1056 River Rd, Manchester, NH 03104-1958 | 2018-10-24 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 52057 |
Please comment or provide details below to improve the information on DELAWARE COUNTY COMMUNITY LIFE.
| 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.