Delaware County Community Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

DELAWARE COUNTY COMMUNITY SERVICES

Practice address

601 Grant St
Manchester, IA 52057

Phone

(563) 927-5116

NPI assigned

Feb 21, 2007

Last updated

Aug 20, 2008By 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

Katie Johannes

Title

Office Manager

Phone

(563) 927-5116

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Delaware County Community Life2 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.

• Delaware County Community Life

  • Community/Behavioral Health Agency
  • Manchester, IA
  • NPI 1437209749
  NPD tax ID

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1215072723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 GRANT ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "52057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GRANT ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "52057",
            "telephone_number": "563-927-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE COUNTY COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "JOHANNES",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "563-927-5116"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444125",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0769372",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0138446",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Marie Cooney, NP
• Timothy Dale Cooper, DDS
• Randy Dean Cornelius, CRNA
• Clinton Thomas Cummings, D.O.
• Delaware County Community Life
• Delaware County Memorial Hospital (Regional Medical Center Home Care)
• Delaware County Memorial Hospital (Regional Medical Center Hospice)
• Delaware County Memorial Hospital (Regional Medical Center)
• Delaware County Memorial Hospital (Regional Medical Center)
• Delaware County Memorial Hospital

• Case Management Agency in Manchester, IA
• Providers in Manchester, IA by specialty
• Case Management Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.