Nhao,LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0058 Issued in IA

Legal business name

NHAO,LLC

Practice address

4002 Teton Trce
Sioux City, IA 51104-4387

Phone

(712) 239-9402

Fax

(712) 239-9406

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gary L Troth

Title

Executive Director

Phone

(712) 239-9402

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northern Hills Assisted Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013135730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 TETON TRCE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511044387",
            "telephone_number": "712-239-9402",
            "fax_number": "712-239-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 TETON TRCE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511044387",
            "telephone_number": "712-239-9402",
            "fax_number": "712-239-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NHAO,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TROTH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "712-239-9402",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0458844",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Hills Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenda L Newberg, PA-C
• Bich Ngoc Thi Nguyen
• Dat Nguyen, PHARMD
• Phuong Cam Nguyen, D.D.S.
• Vinh Quang Nguyen, D.D.S.
• Mark W Nielsen, M.D.
• Kimberlee Niemeier, LBSW, CADC
• Erik Nieuwenhuis, PT
• Timothy Dean Nikkel
• Wade A Nilson, P.A.

• Assisted Living Facility in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Assisted Living 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.