NPIMap

Organization Active NPI

Village Northwest Unlimited

  • Developmentally Disabled Services Day Training Agency
  • Sheldon, IA
National Provider Identifier
1043386741
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
0094615 Issued in IA
Legal business name
VILLAGE NORTHWEST UNLIMITED
Practice address
330 Village Cir
Sheldon, IA 51201-1243
Phone
(712) 324-4873
Fax
(712) 324-4877
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Barry Whitsell
Title
Chief Executive Officer
Phone
(712) 324-4873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 0094615 IA Primary

Addresses

Primary practice location

330 Village Cir
Sheldon, IA 51201-1243

Mailing address

330 Village Cir
Sheldon, IA 51201-1243
Phone (712) 324-4873

Other identifiers 1

IdentifierTypeStateIssuer
0094615OtherIAHCBS

National Provider Directory

National Provider Directory
Tax ID family
Village Northwest Unlimited5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043386741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 VILLAGE CIR",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011243",
            "telephone_number": "712-324-4873",
            "fax_number": "712-324-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 VILLAGE CIR",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011243",
            "telephone_number": "712-324-4873",
            "fax_number": "712-324-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE NORTHWEST UNLIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITSELL",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "712-324-4873",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IA",
            "license": "0094615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCBS",
            "identifier": "0094615",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheldon, IA

Sources for this page

  • 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.