Organization Active NPI

Green Valley Aea 14

  • Local Education Agency (LEA)
  • Creston, IA
National Provider Identifier
1184789638
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
GREEN VALLEY AEA 14
Practice address
1405 N Lincoln St
Creston, IA 50801-1160
Phone
(641) 782-8443
Fax
(641) 782-4298
NPI assigned
Dec 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David Van Horn
Title
Director of Special Education
Phone
(641) 782-8443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

1405 N Lincoln St
Creston, IA 50801-1160

Mailing address

1405 N Lincoln St
Creston, IA 50801-1160
Phone (641) 782-8443

Other identifiers 1

IdentifierTypeStateIssuer
0257253MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Green Valley Aea 142 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184789638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 N LINCOLN ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011160",
            "telephone_number": "641-782-8443",
            "fax_number": "641-782-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 N LINCOLN ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011160",
            "telephone_number": "641-782-8443",
            "fax_number": "641-782-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN VALLEY AEA 14",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN HORN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "641-782-8443"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0257253",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Creston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.