Organization Active NPI

Arlington Place - Pocahontas

  • Assisted Living Facility
  • Pocahontas, IA
National Provider Identifier
1063750818
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
S0226 Issued in IA
Legal business name
ARLINGTON PLACE - POCAHONTAS
Practice address
101 NE 5TH St
Pocahontas, IA 50574-2139
Phone
(712) 335-3020
Fax
(712) 335-5875
NPI assigned
Jan 29, 2013
Last updated
Jan 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Ms. Lauri Dee Fulkerth
Title
Manager
Phone
(712) 335-3020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X S0226 IA Primary

Addresses

Primary practice location

101 NE 5TH St
Pocahontas, IA 50574-2139

Mailing address

101 NE 5TH St
Pocahontas, IA 50574-2139
Phone (712) 335-3020

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D1050453Arlington Place of Pocahontas101 NE 5TH Street, Pocahontas, IA 50574Certificate of waiverFeb 2, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1063750818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NE 5TH ST",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505742139",
            "telephone_number": "712-335-3020",
            "fax_number": "712-335-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NE 5TH ST",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505742139",
            "telephone_number": "712-335-3020",
            "fax_number": "712-335-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON PLACE - POCAHONTAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "FULKERTH",
        "authorized_official_first_name": "LAURI",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "712-335-3020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.