NPIMap

Organization Active NPI

Hope Haven Area Development Center Corporation

  • Intellectual Disabilities Intermediate Care Facility
  • Burlington, IA
National Provider Identifier
1215061197
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
HOPE HAVEN AREA DEVELOPMENT CENTER CORPORATION
Practice address
1901 Racine Ave
Burlington, IA 52601-2246
Phone
(319) 754-4689
NPI assigned
Mar 15, 2007
Last updated
Apr 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Authorized official

Name
Ron Christensen
Title
Director of Programs
Phone
(319) 237-1308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

1901 Racine Ave
Burlington, IA 52601-2246

Mailing address

828 N 7TH St
Burlington, IA 52601-4921
Phone (319) 754-4689

Other names 1

  • Woodlake Group Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Hope Haven Cottonwood14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1215061197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 N 7TH ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526014921",
            "telephone_number": "319-754-4689",
            "fax_number": "319-754-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 RACINE AVE",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526012246",
            "telephone_number": "319-754-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HAVEN AREA DEVELOPMENT CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "DIRECTOR OF PROGRAMS",
        "authorized_official_telephone_number": "319-237-1308"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlake Group Home",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Woodlake Group Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.