NPIMap

Organization Active NPI

Barthell O E S Home

  • Nursing Facility/Intermediate Care Facility
  • Decorah, IA
National Provider Identifier
1285620526
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
N 169 Issued in IA
Legal business name
BARTHELL O E S HOME
Practice address
911 Ridgewood Dr
Decorah, IA 52101-2354
Phone
(563) 382-8787
Fax
(563) 382-8788
NPI assigned
Sep 22, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karl T Jacobsen
Title
Administrator
Phone
(563) 382-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X N 169 IA Primary

Addresses

Primary practice location

911 Ridgewood Dr
Decorah, IA 52101-2354

Mailing address

911 Ridgewood Dr
Decorah, IA 52101-2354
Phone (563) 382-8787

National Provider Directory

National Provider Directory
Tax ID family
Arlin Falck Assisted Living3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285620526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 RIDGEWOOD DR",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012354",
            "telephone_number": "563-382-8787",
            "fax_number": "563-382-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 RIDGEWOOD DR",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012354",
            "telephone_number": "563-382-8787",
            "fax_number": "563-382-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTHELL O E S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "563-382-8787"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "N 169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decorah, 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.

Verify at the official NPI Registry.