Howard Residential Care Facility

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

R-478 Issued in 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

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James Ott

Title

Administrator

Phone

(563) 547-2398

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003907437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21668 80TH ST",
            "city": "CRESCO",
            "state": "IA",
            "postal_code": "521368412",
            "telephone_number": "563-547-2398",
            "fax_number": "563-547-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21668 80TH ST",
            "city": "CRESCO",
            "state": "IA",
            "postal_code": "521368412",
            "telephone_number": "563-547-2398",
            "fax_number": "563-547-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD RESIDENTIAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "563-547-2398",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "IA",
            "license": "R-478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERLY WAIVER",
            "identifier": "0080432",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0894956",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Molly Johansen
• Joslyn Chiropractic Clinic LLC

• Adult Care Home Facility in Cresco, IA
• Providers in Cresco, IA by specialty
• Adult Care Home Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.