Hansen House Memory Care Residence

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

S0330 Issued in IA

Legal business name

HANSEN HOUSE MEMORY CARE RESIDENCE

Practice address

2331 Nash Blvd
Council Bluffs, IA 51501-0914

Phone

(712) 256-4525

Fax

(712) 256-4526

NPI assigned

Jan 3, 2017

Organization subpart

No

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

Authorized official

Name

William McCarty

Title

Owner

Phone

(402) 709-2062

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1174068969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 NASH BLVD",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515010914",
            "telephone_number": "712-256-4525",
            "fax_number": "712-256-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 NASH BLVD",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515010914",
            "telephone_number": "712-256-4525",
            "fax_number": "712-256-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN HOUSE MEMORY CARE RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "MCCARTY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-709-2062"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "IA",
            "license": "S0330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Hanks, DO
• Michael J Hanlon, RPH
• Hannah Barrineau NP LLC
• Lyndsey Marie Hannan, ARPN
• Hansen Chiropractic PLC
• Brian Thomas Hansen, DC
• Craig L Hansen, M.D.
• Kiel Hansen
• Michaela Hansen, ARNP
• Sonya Harris

• Alzheimer Center (Dementia Center) in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Alzheimer Center (Dementia Center) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.