Active NPI
Hope Haven Inc
- Nursing Facility/Intermediate Care Facility
- Rock Valley, IA
National Provider Identifier
1184706566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 0880666
- Legal business name
- HOPE HAVEN INC
- Doing business as
- Hope Haven
- Practice address
- 1800 19TH Street
Rock Valley, IA 51247 - Phone
- (712) 476-2737
- Fax
- (712) 476-3110
- NPI assigned
- Oct 19, 2006
- 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
- Mr. Duane R Obbink
- Title
- Chief Financial Officer
- Phone
- (712) 476-2737
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 0880666 | IA | Primary |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 0893065 | IA | |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 0893073 | IA | |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 0892745 | IA |
Addresses
Primary practice location
1800 19TH Street
Rock Valley, IA 51247
Mailing address
1800 19TH Street
Rock Valley, IA 51247
Phone (712) 476-2737
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0893065 | Other | RCF MR | |
| 1103788 | Other | IA | REMEDIAL |
| 1560862 | Medicaid | IA | |
| 0231621 | Other | ARO | |
| 0893073 | Other | RCF MR | |
| 0248252 | Other | ARO | |
| 0880666 | Other | ICF MR | |
| 0096628 | Other | HCBS RB SCL | |
| 0892745 | Other | RCF MR | |
| 4950121 | Medicaid | IA |
Other names 1
- Hope Haven
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Cedar Rapids, IA
- NPI 1063710051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201651200000",
"number": "1184706566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 19TH STREET",
"city": "ROCK VALLEY",
"state": "IA",
"postal_code": "51247",
"telephone_number": "712-476-2737",
"fax_number": "712-476-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 19TH STREET",
"city": "ROCK VALLEY",
"state": "IA",
"postal_code": "51247",
"telephone_number": "712-476-2737",
"fax_number": "712-476-3110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE HAVEN INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2008-01-30",
"status": "A",
"authorized_official_last_name": "OBBINK",
"authorized_official_first_name": "DUANE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "712-476-2737",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "IA",
"license": "0880666",
"primary": true
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "IA",
"license": "0893065",
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "IA",
"license": "0893073",
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "IA",
"license": "0892745",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RCF MR",
"identifier": "0893065",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REMEDIAL",
"identifier": "1103788",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1560862",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARO",
"identifier": "0231621",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RCF MR",
"identifier": "0893073",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARO",
"identifier": "0248252",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ICF MR",
"identifier": "0880666",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCBS RB SCL",
"identifier": "0096628",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RCF MR",
"identifier": "0892745",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4950121",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hope Haven",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rock Valley, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.