Chariton Group Home Develop Corp

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

CHARITON GROUP HOME DEVELOP CORP

Practice address

1221 Brookdale Ave
Chariton, IA 50049-1531

Phone

(641) 774-8252

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Jean Small, BA AND BS IN SECONDA

Title

Adm of Group Home

Phone

(641) 774-8252

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235258658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 462",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491531",
            "telephone_number": "641-774-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 BROOKDALE AVE",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491531",
            "telephone_number": "641-774-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARITON GROUP HOME DEVELOP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADM OF GROUP HOME",
        "authorized_official_telephone_number": "641-774-8252",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA AND BS IN SECONDA"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Buttell
• Care Initiatives
• Caregivers of Chariton, LLC
• Chariton Community School District
• Chariton Family Medical Center, P.C.
• Circle of Friends Home Care
• Circle of Friends Home Medical
• Circle of Life Hospice
• Greg D Cohen, D.O.
• County of Lucas

• All providers in Chariton, IA
• Physical Disabilities Residential Treatment Facility in Iowa

• 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.