Howard Residential Care Facility
Organization Active NPI Adult Care Home Facility · Cresco, IA
NPI 1003907437 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1003907437
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- R-478 (IA)
- Legal business name
- HOWARD RESIDENTIAL CARE FACILITY
- Practice address
- 21668 80TH St
Cresco, IA 52136-8412 - Phone
- (563) 547-2398
- Fax
- (563) 547-4274
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. James Ott
- Title
- Administrator
- Phone
- (563) 547-2398
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | R-478 | IA | Yes |
Addresses
Primary practice location
21668 80TH St
Cresco, IA 52136-8412
Mailing address
21668 80TH St
Cresco, IA 52136-8412
Phone (563) 547-2398
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0894956 | Medicaid | IA | |
| 0080432 | Other | IA | ELDERLY WAIVER |
Other providers in Cresco, IA
- Hoines Pharmacies Inc
- Bethany S Holland
- Honor Our Mothers, LLC
- Deanne Hosek
- Howard County Case Management
- Howard-Winneshiek Community School District
- Joel Ingram
- Paul J. Jensen
- Molly Johansen
- Joslyn Chiropractic Clinic LLC
All providers in Cresco, IA · Adult Care Home Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.