NPIMap

Organization Active NPI

Children'S Care Hospital and School Dba Lifescape

  • Occupational Therapist
  • Sioux City, IA
National Provider Identifier
1114256161
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
001932 Issued in IA
Legal business name
CHILDREN'S CARE HOSPITAL AND SCHOOL DBA LIFESCAPE
Practice address
2524 Glenn Ave
Sioux City, IA 51106-2768
Phone
(712) 226-2253
NPI assigned
Dec 21, 2009
Organization subpart
Yes
Parent organization
CHILDREN'S CARE HOSPITAL AND SCHOOL DBA LIFESCAPEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Mrs. Amy M Jensen
Title
Director of Outpatient Operations
Phone
(605) 444-9711

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 004071 IA
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 001932 IA Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 01736 IA

Addresses

Primary practice location

2524 Glenn Ave
Sioux City, IA 51106-2768

Mailing address

2524 Glenn Ave
Sioux City, IA 51106
Phone (712) 226-2253

Other names 1

  • LifeScape AbleKids Other name

National Provider Directory

National Provider Directory
Tax ID family
Childrens Care Hospital and School7 organizations share this tax ID, including this one
Part of
Childrens Care Hospital and School

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2524 Glenn Ave
Sioux City, IA 51106
Phone (712) 226-2253

2538 Glenn Ave
Sioux City, IA 51106
Phone (712) 226-2253

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1114256161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 GLENN AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51106",
            "telephone_number": "712-226-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 GLENN AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511062768",
            "telephone_number": "712-226-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CARE HOSPITAL AND SCHOOL DBA LIFESCAPE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S CARE HOSPITAL AND SCHOOL DBA LIFESCAPE",
        "enumeration_date": "2009-12-21",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF OUTPATIENT OPERATIONS",
        "authorized_official_telephone_number": "605-444-9711",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004071",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "001932",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "01736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeScape AbleKids",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.