HANDICAP VILLAGE (NPI# 1487981783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487981783 |
| Entity Type | Organization |
| Organization Name | HANDICAP VILLAGE |
| Other Organization Name | OPPORTUNITY VILLAGE |
| Practice Address |
1470 21st Ave N Fort Dodge IA 50501-7114 |
| Mailing Address |
Po Box 622 Clear Lake IA 50428-0622 |
| Practice Telephone | 5155738243 |
| Practice Fax Number | 5155764269 |
| Mailing Telephone | 6413575277 |
| Mailing Fax Number | 6413576471 |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2009-11-06 |
| Authorized Official Name | MR. JOHN SEVERTSON (CEO) |
| Authorized Official Telephone | 6413575277 |
| 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 |
|---|---|
| Opportunity Village | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548317944 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2007-01-05 |
| 1619337706 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2016-03-02 |
| 1528428612 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2016-03-02 |
| 1427418516 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2016-03-02 |
| 1336509421 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2016-03-02 |
| 1154781243 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2016-03-02 |
| 1063872158 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2016-03-02 |
| 1891160305 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2015-12-09 |
| 1003280884 | Handicap Village | Community/Behavioral Health | 1200 N 9th St W, Clear Lake, IA 50428-1100 | 2015-11-17 |
| Street Address |
1470 21ST AVE N |
| City | FORT DODGE |
| State | IA |
| Zip Code | 50501-7114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678351 | Northwoods Living, Inc. | Voluntary or Charitable | 1470 21st Ave N, Fort Dodge, IA 50501-7114 | 2005-06-09 |
| 1588933089 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1470 21st Ave N, Fort Dodge, IA 50501-7114 | 2011-12-29 |
| 1669709622 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1470 21st Ave N, Fort Dodge, IA 50501-7114 | 2009-11-12 |
| 1396072252 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1470 21st Ave N, Fort Dodge, IA 50501-7114 | 2009-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023523412 | Katelin Judith Hartmann | Nurse Practitioner | 2913 5th Ave S, Fort Dodge, IA 50501 | 2017-12-06 |
| 1619338365 | John Clay Dds, Plc | Dentist | 1905 North 15th Street, Fort Dodge, IA 50501 | 2016-03-09 |
| 1710350517 | Alexandria Doyle | Nurse Practitioner | 800 Kenyon Road, Fort Dodge, IA 50501 | 2015-11-03 |
| 1366859993 | Heather Maureen Stillman Anderson | Dentist | 126 North 10th Street, Fort Dodge, IA 50501 | 2014-07-15 |
| 1205261575 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2029 5th Ave. South, Fort Dodge, IA 50501 | 2013-09-05 |
| 1952693020 | Riley Armstrong Plg & Htg, Inc | Contractor | 11 No. 20th St, Fort Dodge, IA 50501 | 2011-05-09 |
| 1407001639 | Marta Karyn Kramer | Pharmacist | 1428 2nd Ave No., Fort Dodge, IA 50501 | 2008-12-02 |
| 1427251305 | Andrew Bryant Sonksen | Dentist | 1716 1st Ave South, Fort Dodge, IA 50501 | 2007-06-07 |
| 1720127475 | John H Garton | Dentist | 1210 3rd Avenue South, Fort Dodge, IA 50501 | 2007-02-06 |
| 1912043746 | Aaron Mobley | Chiropractor | 1234 Central Ave, Fort Dodge, IA 50501 | 2007-01-29 |
| Find all providers in zip 50501 | ||||
| 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 |
|---|---|---|---|---|
| 1669709622 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1470 21st Ave N, Fort Dodge, IA 50501-7114 | 2009-11-12 |
| 1396072252 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1470 21st Ave N, Fort Dodge, IA 50501-7114 | 2009-11-12 |
| 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 | FORT DODGE |
| Zip Code | 50501 |
Please comment or provide details below to improve the information on HANDICAP VILLAGE.
| 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.