NPIMap

Organization Active NPI

Aegis

  • Skilled Nursing Facility
  • Keosauqua, IA
National Provider Identifier
1013344191
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
00969 Issued in IA
Legal business name
AEGIS
Practice address
819 Country Lane Rd
Keosauqua, IA 52565-1001
Phone
(310) 293-3671
NPI assigned
Oct 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Shawna Young
Title
Pta
Phone
(319) 288-0875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 00969 IA Primary

Addresses

Primary practice location

819 Country Lane Rd
Keosauqua, IA 52565-1001

Mailing address

819 Country Lane Rd
Keosauqua, IA 52565-1001

National Provider Directory

National Provider Directory
Tax ID family
Aegis9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1013344191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 COUNTRY LANE RD",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "525651001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 COUNTRY LANE RD",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "525651001",
            "telephone_number": "310-293-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "319-288-0875"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "00969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keosauqua, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.