Active NPI
Successful Living
- Developmentally Disabled Services Day Training Agency
- Iowa City, IA
National Provider Identifier
1275690224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- SUCCESSFUL LIVING
- Practice address
- 409 Highway 1 W
Iowa City, IA 52246-4205 - Phone
- (319) 358-6800
- NPI assigned
- Jan 2, 2007
- 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
- Mr. Michael R Bowers
- Title
- Executive Director
- Phone
- (319) 358-6800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | IA | Primary |
Addresses
Primary practice location
409 Highway 1 W
Iowa City, IA 52246-4205
Mailing address
409 Highway 1 W
Iowa City, IA 52246-4205
National Provider Directory
National Provider DirectoryLocations
409 Highway 1 W
Iowa City, IA 52246
Phone (319) 358-6800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275690224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 HIGHWAY 1 W",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522464205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 HIGHWAY 1 W",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522464205",
"telephone_number": "319-358-6800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUCCESSFUL LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BOWERS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "319-358-6800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- 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.