Organization Active NPI

Hansen House Harlan

  • Assisted Living Facility
  • Harlan, IA
National Provider Identifier
1245807726
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HANSEN HOUSE HARLAN
Practice address
703 Dye St
Harlan, IA 51537-1108
Phone
(712) 733-8783
Fax
(712) 733-8783
NPI assigned
Jun 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Authorized official

Name
Jennifer Dawn Harbaugh, RN
Title
Health Care Coordinator
Phone
(402) 981-0801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

703 Dye St
Harlan, IA 51537-1108

Mailing address

703 Dye St
Harlan, IA 51537-1108
Phone (712) 733-8783

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
16D2154638Hansen House Harlan703 Dye Street, Harlan, IA 51537Certificate of waiverSep 16, 2026

National Provider Directory

National Provider Directory

Locations

703 Dye St
Harlan, IA 51537
Phone (712) 733-8783

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1245807726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 DYE ST",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515371108",
            "telephone_number": "712-733-8783",
            "fax_number": "712-733-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 DYE ST",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515371108",
            "telephone_number": "712-733-8783",
            "fax_number": "712-733-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN HOUSE HARLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "HARBAUGH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "HEALTH CARE COORDINATOR",
        "authorized_official_telephone_number": "402-981-0801",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlan, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.