Kensington Fort Madison, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0092 Issued in NU

Legal business name

KENSINGTON FORT MADISON, LLC

Practice address

2210 Ave H
Fort Madison, IA 52627-4003

Phone

(319) 372-4233

Fax

(319) 372-7940

NPI assigned

Oct 30, 2009

Last updated

Oct 30, 2009By 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

Rachel H Benda

Title

Director

Phone

(319) 372-4233

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1053647776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 AVE H",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526274003",
            "telephone_number": "319-372-4233",
            "fax_number": "319-372-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 AVE H",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526274003",
            "telephone_number": "319-372-4233",
            "fax_number": "319-372-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENSINGTON FORT MADISON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "BENDA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "319-372-4233"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": "S0092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X000417287",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Fort Madison, IA
• Providers in Fort Madison, 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 Oct 30, 2009; 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.