Organization Active NPI

Hope Haven Inc

  • Nursing Facility/Intermediate Care Facility
  • Rock Valley, IA
National Provider Identifier
1184706566
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
0880666 Issued in IA
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

Updated by the provider on Jan 30, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0893065OtherRCF MR
1103788OtherIAREMEDIAL
1560862MedicaidIA
0231621OtherARO
0893073OtherRCF MR
0248252OtherARO
0880666OtherICF MR
0096628OtherHCBS RB SCL
0892745OtherRCF MR
4950121MedicaidIA

Other names 1

  • Hope Haven Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.