Dunlap Assisted Living, L.L.C.
Organization Active NPI Assisted Living Facility · Dunlap, IA
NPI 1093930786 · NPPES record last updated Nov 10, 2022
Key facts
- NPI
- 1093930786
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- S0249 (IA)
- Legal business name
- DUNLAP ASSISTED LIVING, L.L.C.
- Practice address
- 1405 Harrison Road
Dunlap, IA 51529 - Phone
- (712) 643-2121
- Fax
- (712) 643-2135
- NPI assigned
- Apr 16, 2007
- Organization subpart
- No
Authorized official
- Name
- David Dixon
- Title
- SVP/Cfo
- Phone
- (515) 224-4442
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2193702 | Dunlap Assisted Living | Certificate of waiver | Sep 23, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | S0249 | IA | Yes |
Addresses
Primary practice location
1405 Harrison Road
Dunlap, IA 51529
Mailing address
1405 Harrison Road
Dunlap, IA 51529
Phone (712) 643-2121
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0747550 | Medicaid | IA |
Other providers in Dunlap, IA
- Tara Baker
- Boyer Valley Community School District
- Burgess Health Center
- Burgess Health Center
- Care Initiatives
- Dunlap Fire and Rescue
- Jennifer Hall
- Horizon Physical Therapy
- Dennis Ivo Lehan
- Outward Mobility Medical Transportation Services, Inc.
All providers in Dunlap, IA · Assisted Living Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.