Active NPI
Hansen House Harlan
- Assisted Living Facility
- Harlan, IA
National Provider Identifier
1245807726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2154638 | Hansen House Harlan | Certificate of waiver | Sep 16, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.