KEOKUK AREA GROUP HOME (NPI# 1679779490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679779490 |
| Entity Type | Organization |
| Organization Name | KEOKUK AREA GROUP HOME |
| Practice Address |
317 High St Keokuk IA 52632-5939 |
| Practice Telephone | 3195241871 |
| Mailing Telephone | 3195241871 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2013-05-28 |
| Authorized Official Name | MR. CEVIN T COFFIELD (ADMINISTRATOR) |
| Authorized Official Telephone | 3195241871 |
| 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 | 56-0091 | IA | Residential Treatment Facilities |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 56-0091 | IA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790842615 | Keokuk Area Group Home | Custodial Care Facility | 317 High St, Keokuk, IA 52632-5939 | 2007-01-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | KEOKUK AREA GROUP HOME, INC. | 317 High St, Keokuk, IA 52632 |
| Street Address |
317 HIGH ST |
| City | KEOKUK |
| State | IA |
| Zip Code | 52632-5939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790842615 | Keokuk Area Group Home | Custodial Care Facility | 317 High St, Keokuk, IA 52632-5939 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265911721 | Eugenia Kay Petersen | Speech-Language Pathologist | 20 Village Circle, Keokuk Iowa, Keokuk, IA 52632 | 2018-08-07 |
| 1578984902 | Cody Kite-warth | Physical Therapy Assistant | 20 Village Circly, Keokuk, IA 52632 | 2014-01-03 |
| 1801228234 | Nicole Fett | Occupational Therapy Assistant | 20 Village Circle, Keokuk, IA 52632 | 2013-08-08 |
| 1033437140 | Teresa Dale Schenck | Nurse Practitioner | 400 N. 17th St, Teresa Schenck Dnp, Keokuk, IA 52632 | 2010-05-13 |
| 1225241052 | Kenneth Blaine Messer | Dentist | 1624 Morgan Street, Keokuk, IA 52632 | 2007-05-08 |
| 1417011024 | Donald Loren Steingreaber | Dentist | 307 N 17th, Keokuk, IA 52632 | 2006-12-20 |
| 1265501316 | John A Wilde | Dentist | 1626 Morgan St, Suite 3, Keokuk, IA 52632 | 2006-11-06 |
| 1639250293 | Charles F Eddingfield Md | General Practice | 1610 Morgan Street, Keokuk, IA 52632 | 2006-10-18 |
| 1861582835 | Nick John Daskalos | Dentist | 28 N 4th St, Keokuk, IA 52632 | 2006-10-13 |
| 1831209683 | Edward Martin Mcgreevey | Dentist | 1624 Morgan St, Keokuk, IA 52632 | 2006-08-30 |
| Find all providers in zip 52632 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750696852 | Community Neurorehab of Iowa | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3000 Sw 37th St, Des Moines, IA 50321-1330 | 2010-08-12 |
| 1437325693 | Nishna Productions, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 304 W Valley Ave, Shenandoah, IA 51601-1218 | 2008-05-07 |
| 1184890477 | Nishna Productions, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 100 E Oak St, Red Oak, IA 51566-1544 | 2008-05-06 |
| 1881890788 | Hope Haven Cottonwood | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 910 Cottonwood Ct Ste 1002, Burlington, IA 52601-1994 | 2007-06-26 |
| 1629293527 | Marion County Care Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1111 Newbold St, Knoxville, IA 50138-8605 | 2007-04-16 |
| 1407070808 | Country Care Center, Corp | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 725 Highway 59, Harlan, IA 51537-6709 | 2007-04-13 |
| 1144354614 | Hope Haven Area Development Center Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2205 Northern Dr, Burlington, IA 52601-2256 | 2007-03-15 |
| 1851425748 | Hope Haven Area Development Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2209 Northern Dr, Burlington, IA 52601-2256 | 2007-03-15 |
| 1598893406 | Systems Unlimited, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2553 Scott Blvd Se, Iowa City, IA 52240 | 2007-03-01 |
| 1841327673 | Crossroads of Western Iowa | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1 Crossroads Pl, Missouri Valley, IA 51555-6069 | 2007-02-28 |
| 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.