HANDICAP VILLAGE (NPI# 1912544123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912544123 |
| Entity Type | Organization |
| Organization Name | HANDICAP VILLAGE |
| Practice Address |
1140 Limestone St Mason City IA 50401 |
| Mailing Address |
Po Box 622 Clear Lake IA 50428-0622 |
| Practice Telephone | 6413575277 |
| Practice Fax Number | 6413576491 |
| Mailing Telephone | 6413575277 |
| Mailing Fax Number | 6413576491 |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | BRAD KLUG (REGIONAL DIRECTOR) |
| Authorized Official Telephone | 5152062242 |
| 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 |
|---|---|
| One Vision | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1669709622 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1470 21st Ave N, Fort Dodge, IA 50501-7114 | 2009-11-12 |
| Street Address |
1140 LIMESTONE ST |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| 1295175271 | Cherielynn S Wagner | Family Medicine | 621 S Illinois Ave Ste 100, Mason City, IA 50401 | 2013-07-05 |
| Find all providers in zip 50401 | ||||
| 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 |
|---|---|---|---|---|
| 1912528266 | One Vision | Intermediate Care Facility, Mentally Retarded | 755 Pebblestone Lane, Garner, IA 50428 | 2020-04-28 |
| 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 |
| 1790983021 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 5555 Nw 55th Ave, Johnston, IA 50131-1367 | 2007-07-09 |
| Find all providers with the same taxonomy | ||||
| City | MASON CITY |
| Zip Code | 50401 |
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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.