NPIMap

Organization Active NPI

Exceptional Persons Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Waterloo, IA
National Provider Identifier
1134264807
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
EXCEPTIONAL PERSONS INC
Practice address
1210 Idaho St
Waterloo, IA 50703-4328
Phone
(319) 232-6671
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Katie Callahan Slade
Title
Executive Director
Phone
(319) 232-6671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1210 Idaho St
Waterloo, IA 50703-4328

Mailing address

PO Box 4090
Waterloo, IA 50704-4090
Phone (319) 232-6671

Other identifiers 1

IdentifierTypeStateIssuer
0737734MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Exceptional Persons Inc23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1134264807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4090",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507044090",
            "telephone_number": "319-232-6671",
            "fax_number": "319-232-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 IDAHO ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034328",
            "telephone_number": "319-232-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL PERSONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN SLADE",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-232-6671"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0737734",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.