Organization Active NPI

Humboldt Workshop, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Humboldt, IA
National Provider Identifier
1003965443
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
HUMBOLDT WORKSHOP, INC.
Practice address
21 Taft St N
Humboldt, IA 50548-1768
Phone
(515) 332-2841
Fax
(515) 332-1915
NPI assigned
Jan 8, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Joan Marie Kellner
Title
Chief Financial Officer
Phone
(515) 332-2841

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X IA Primary
Home Health Agency 251E00000X IA

Addresses

Primary practice location

21 Taft St N
Humboldt, IA 50548-1768

Mailing address

PO Box 587
Humboldt, IA 50548-0587
Phone (515) 332-2841

Other identifiers 1

IdentifierTypeStateIssuer
0230193MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Humboldt Workshop Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

21 Taft St N
Humboldt, IA 50548
Phone (515) 332-2841

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1003965443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505480587",
            "telephone_number": "515-332-2841",
            "fax_number": "515-332-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TAFT ST N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481768",
            "telephone_number": "515-332-2841",
            "fax_number": "515-332-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT WORKSHOP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KELLNER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "515-332-2841",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IA",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0230193",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.