NPIMap

Organization Active NPI

Abcm Corporation

Doing business as Eagle Ridge Independent & Assisted Living

  • Assisted Living Facility
  • Guttenberg, IA
National Provider Identifier
1205200748
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
S0354 Issued in IA
Legal business name
ABCM CORPORATION
Doing business as
Eagle Ridge Independent & Assisted Living
Practice address
1329 Acre St
Guttenberg, IA 52052-9594
Phone
(563) 252-2288
NPI assigned
Nov 20, 2015
Last updated
Nov 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Mr. Timothy Roberts
Title
Cfo
Phone
(641) 456-5636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X S0354 IA Primary

Addresses

Primary practice location

1329 Acre St
Guttenberg, IA 52052-9594

Mailing address

1320 4TH St NE
Hampton, IA 50441-1104
Phone (641) 456-5636

Other names 1

  • EAGLE RIDGE INDEPENDENT & ASSISTED LIVING Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2105138Eagle Ridge Independent & Assisted Living1329 Acre Street, Guttenberg, IA 52052Certificate of waiverNov 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Abcm Corporation51 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Locations

1329 Acre St
Guttenberg, IA 52052
Phone (563) 252-2288

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1205200748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 4TH ST NE",
            "city": "HAMPTON",
            "state": "IA",
            "postal_code": "504411104",
            "telephone_number": "641-456-5636",
            "fax_number": "641-456-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 ACRE ST",
            "city": "GUTTENBERG",
            "state": "IA",
            "postal_code": "520529594",
            "telephone_number": "563-252-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABCM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-456-5636",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAGLE RIDGE INDEPENDENT & ASSISTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guttenberg, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.