SIMPLE LIFE, INC. (NPI# 1922491638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922491638 |
| Entity Type | Organization |
| Organization Name | SIMPLE LIFE, INC. |
| Practice Address |
1551 Indian Hills Dr Suite 4 Sioux City IA 51104-1859 |
| Mailing Address |
16861 Marble Ave Le Mars IA 51031-8901 |
| Practice Telephone | 7125409117 |
| Mailing Telephone | 7125409117 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |
| Authorized Official Name | SHERI PORTER (CEO) |
| Authorized Official Telephone | 7125409117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SIMPLE LIFE, INC. | 1551 Indian Hills Drive, Suite 4, Sioux City, IA 51104 |
| New York State Corporations | SIMPLE LIFE, INC. | 35 Howard Drive, Coram, New York 11727 |
| Street Address |
1551 INDIAN HILLS DR SUITE 4 |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51104-1859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063458636 | Carl Edwin Peters | Physician Assistant | 1551 Indian Hills Dr, Sioux City, IA 51104-1859 | 2006-06-21 |
| 1619456910 | Renee Ann Fagen | Psychologist | 1551 Indian Hills Dr, Sioux City, IA 51104-1859 | 2018-08-08 |
| 1144552068 | Northside Chiropractic Wellness Center Plc | Chiropractor | 1551 Indian Hills Dr, Suite 8, Sioux City, IA 51104-1859 | 2010-02-03 |
| 1689813255 | Professional Portable Radiologic Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1551 Indian Hills Dr, #104, Sioux City, IA 51104-1859 | 2009-02-05 |
| 1174799225 | Michael P Baker Dba Associates for Psycholoigcal & Therapy Services | Counselor | 1551 Indian Hills Dr, Suite 221, Sioux City, IA 51104-1859 | 2008-05-07 |
| 1588705339 | Karen L Wall | Counselor | 1551 Indian Hills Dr, Suite 221, Sioux City, IA 51104-1859 | 2007-02-12 |
| 1114095403 | Indian Hills Pharmacy | Pharmacist | 1551 Indian Hills Dr, Ste 101, Sioux City, IA 51104-1859 | 2006-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578944435 | Family First Dental Associates of Iowa, P.C. | Dentist | 2100 Indian Hills Drive, Sioux City, IA 51104 | 2015-06-16 |
| 1740590785 | Khatu Vivienne Erlbacher | Pharmacist | 515 North Briar Path, Sioux City, IA 51104 | 2010-10-08 |
| 1730407545 | Randall Glen Wood | Emergency Medicine | 2720 Stone Park Blvd., Sioux City, IA 51104 | 2010-05-04 |
| 1790811024 | Fred R Rizk | Dentist | 1923 Nebraska Street, Siuox City, IA 51104 | 2007-02-23 |
| 1255474029 | Edilia Maria Marshall | Dentist | Summit Dental, 2114 Pierce St, Sioux City, IA 51104 | 2007-02-14 |
| 1063553410 | Thomas Leonard Tiedeman | Dentist | 2918 Hamilton Blvd, Upper D Suite 1, Sioux City, IA 51104 | 2007-02-09 |
| 1336209188 | Shawn Robert Walton | Dentist | 2410 Pierce Street, Sioux City, IA 51104 | 2006-12-11 |
| 1477649556 | Timothy R Kuntz | Dentist | 3012 Hamilton Blvd, Sioux City, IA 51104 | 2006-10-05 |
| 1528162732 | Duane Kent Nelson | Orthopaedic Surgery | 2800 Peirce St, Suite 101, Sioux City, IA 51104 | 2006-09-08 |
| 1659482206 | Shawn R Walton | Dentist | 2928 Hamilton Blvd, Suite 102, Sioux City, IA 51104 | 2006-08-31 |
| Find all providers in zip 51104 | ||||
| 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 |
|---|---|---|---|---|
| 1396015509 | Siouxland Treatment Center | Community/Behavioral Health | 2520 Glenn Ave, Sioux City, IA 51106-2768 | 2012-01-04 |
| 1356546675 | Meagan Bertness LLC | Community/Behavioral Health | 3126 Summit St, Sioux City, IA 51104-3946 | 2007-06-18 |
| 1912058967 | Center for Human Development, Inc | Community/Behavioral Health | 1504 Hiawatha Trl, Sioux City, IA 51104-4325 | 2007-01-16 |
| 1508914730 | Answers, LLC | Community/Behavioral Health | 507 7th St Ste 215, Sioux City, IA 51101-1125 | 2007-01-05 |
| 1174061881 | Building Bridges Counseling & Associates Inc | Community/Behavioral Health | 505 5th St Ste 520, Sioux City, IA 51101-1506 | 2017-02-02 |
| 1619410735 | Siouxland Counseling Services, Pllc | Community/Behavioral Health | 409 11th St, Sioux City, IA 51105-1332 | 2016-11-21 |
| 1427504216 | Transitional Services of Iowa | Community/Behavioral Health | 1221 Pierce St, Sioux City, IA 51105-1418 | 2016-08-31 |
| 1518337054 | Family Wellness Associates, Inc. | Community/Behavioral Health | 1115 5th St, Sioux City, IA 51101-1905 | 2015-09-27 |
| 1659759124 | Choices Counseling & Consulting, Inc | Community/Behavioral Health | 520 Nebraska St, Ste #408, Sioux City, IA 51101-1307 | 2015-05-15 |
| 1700174612 | Integrated Counseling Practice | Community/Behavioral Health | 1221 Pierce St, Sioux City, IA 51105-1418 | 2011-07-12 |
| Find all providers in SIOUX CITY | ||||
| City | SIOUX CITY |
| Zip Code | 51104 |
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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.