SOUTHERN IOWA INDEPENDENT LIVING, INC. (NPI# 1659746360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659746360 |
| Entity Type | Organization |
| Organization Name | SOUTHERN IOWA INDEPENDENT LIVING, INC. |
| Practice Address |
2219 W Hills Dr Fairfield IA 52556-4739 |
| Practice Telephone | 6419198003 |
| Mailing Telephone | 6419198003 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |
| Authorized Official Name | JUDY ANN ALEXANDER (CEO) |
| Authorized Official Telephone | 6419198003 |
| Authorized Official Credential | LBSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
2219 W HILLS DR |
| City | FAIRFIELD |
| State | IA |
| Zip Code | 52556-4739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447658984 | Judy Alexander | Community Based Residential Treatment Facility, Mental Illness | 2219 W Hills Dr, Fairfield, IA 52556-4739 | 2014-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376175315 | Sarah Jo Chaney | Speech-Language Pathologist | 402 W Burlington Ave, Ste 200, Fairfield, IA 52556 | 2020-02-07 |
| 1588191290 | Kirk D. Condon | Counselor | 201 South 23rd, Fairfield, IA 52556 | 2017-05-12 |
| 1740644483 | Felicity Kelly | Acupuncturist | 206 E Burlington Ave #2, Fairfield, IA 52556 | 2016-04-08 |
| 1275964686 | Donna J Besick | Physical Therapy Assistant | 2000 S. Main St., Fairfield, IA 52556 | 2013-12-11 |
| 1568894731 | Mary Helen Gartin | Family Medicine | 2000c South Main, Fairfield, IA 52556 | 2013-07-30 |
| 1699016287 | Sarah Elizabeth Brooks | Acupuncturist | 1825 Okra Blvd, Fairfield, IA 52556 | 2013-03-07 |
| 1265755631 | Robert H. Schneider | Preventive Medicine | 2100 Mansion Drive, Suite 211 - Inmp, Maharishi Vedic City, IA 52556 | 2010-03-12 |
| 1033346127 | Madison County Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1401 S Main St Ste 101, Fairfield, IA 52556 | 2009-06-16 |
| 1144490178 | Southeastern Renal Dialysis L.c. | Clinic/Center | 2000 A S Main St, Fairfield, IA 52556 | 2008-03-05 |
| 1497933741 | Rochelle Marie Phelps | Social Worker | 301 W. Burlington, Fairfield, IA 52556 | 2008-02-07 |
| Find all providers in zip 52556 | ||||
| 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 |
|---|---|---|---|---|
| 1447658984 | Judy Alexander | Community Based Residential Treatment Facility, Mental Illness | 2219 W Hills Dr, Fairfield, IA 52556-4739 | 2014-12-16 |
| 1639217029 | Caminar | Community Based Residential Treatment Facility, Mental Illness | 956 E Tabor Ave, Fairfield, CA 94533-4104 | 2007-02-01 |
| 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 |
| 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 |
| 1558402271 | Mosaic | Community Based Residential Treatment Facility, Mental Illness | 600 9th Avenue, Council Bluffs, IA 51501-0000 | 2007-02-08 |
| 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.