Country Haven Guests Homes Limited

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COUNTRY HAVEN GUESTS HOMES LIMITED

Practice address

2490 Prairieview Ave
Winterset, IA 50273-8115

Phone

(515) 462-3701

NPI assigned

May 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shirley Givant, LPN

Title

Owner

Phone

(515) 462-3701

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184835795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 PRAIRIEVIEW AVE",
            "city": "WINTERSET",
            "state": "IA",
            "postal_code": "502738115",
            "telephone_number": "515-462-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 PRAIRIEVIEW AVE",
            "city": "WINTERSET",
            "state": "IA",
            "postal_code": "502738115",
            "telephone_number": "515-462-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY HAVEN GUESTS HOMES LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIVANT",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-462-3701",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.