Active NPI
Ida Services, Inc.
- Developmentally Disabled Services Day Training Agency
- Battle Creek, IA
National Provider Identifier
1083784912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- NA
- Legal business name
- IDA SERVICES, INC.
- Practice address
- 651 First
Battle Creek, IA 51006-0016 - Phone
- (712) 365-4339
- Fax
- (712) 365-4566
- NPI assigned
- Nov 8, 2006
- Last updated
- Jun 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Margaret Ann Johnson
- Title
- Executive Director
- Phone
- (712) 365-4339
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | NA | NU | Primary |
| Home Health Agency | 251E00000X | NU | ||
| Voluntary or Charitable Agency | 251V00000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
651 First
Battle Creek, IA 51006-0016
Mailing address
PO Box 16
Battle Creek, IA 51006-0016
Phone (712) 365-4339
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0124891 | Medicaid | IA | |
| W1311 | Medicaid | IA | |
| W1425 | Medicaid | IA | |
| W1431 | Medicaid | IA | |
| W5020 | Medicaid | IA | |
| 1240358 | Medicaid | IA | |
| W0519 | Medicaid | IA | |
| W1414 | Medicaid | IA | |
| 0240358 | Medicaid | IA | |
| W0720 | Medicaid | IA | |
| W1430 | Medicaid | IA | |
| W0721 | Medicaid | IA | |
| W0719 | Medicaid | IA | |
| W0722 | Medicaid | IA | |
| W1300 | Medicaid | IA | |
| W5021 | Medicaid | IA |
National Provider Directory
National Provider Directory- Tax ID family
- Ida Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Early Intervention Provider Agency
- Battle Creek, IA
- NPI 1265600688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1083784912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16",
"city": "BATTLE CREEK",
"state": "IA",
"postal_code": "510060016",
"telephone_number": "712-365-4339",
"fax_number": "712-365-4566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 FIRST",
"city": "BATTLE CREEK",
"state": "IA",
"postal_code": "510060016",
"telephone_number": "712-365-4339",
"fax_number": "712-365-4566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDA SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "712-365-4339",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": "NA",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0124891",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W1311",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W1425",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W1431",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W5020",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1240358",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W0519",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W1414",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0240358",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W0720",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W1430",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W0721",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W0719",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W0722",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W1300",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W5021",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Battle Creek, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.