Organization Active NPI

Nishna Productions, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Red Oak, IA
National Provider Identifier
1184890477
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
690223 Issued in IA
Legal business name
NISHNA PRODUCTIONS, INC.
Practice address
100 E Oak St
Red Oak, IA 51566-1544
Phone
(712) 623-9767
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Lisa A Brunk
Title
Director of Finance
Phone
(712) 246-1242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 690223 IA Primary

Addresses

Primary practice location

100 E Oak St
Red Oak, IA 51566-1544

Mailing address

902 Day St
PO Box 70
Shenandoah, IA 51601-1106
Phone (712) 246-1242

Other identifiers 1

IdentifierTypeStateIssuer
0894790MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Nishna Productions Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1184890477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 DAY ST",
            "address_2": "PO BOX 70",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516011106",
            "telephone_number": "712-246-1242",
            "fax_number": "712-246-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E OAK ST",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661544",
            "telephone_number": "712-623-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISHNA PRODUCTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "BRUNK",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "712-246-1242"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IA",
            "license": "690223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0894790",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.