Camp Courageous of Iowa

Primary specialty

Respite Care CampTaxonomy code 385HR2050X

Legal business name

CAMP COURAGEOUS OF IOWA

Practice address

12007 190TH St
Monticello, IA 52310-8060

Phone

(319) 465-5916

NPI assigned

Jun 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Charles W Becker

Title

Executive Director

Phone

(319) 465-5916

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Lyn Brenneman, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Monticello, IA
  • NPI 1639658800
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306040951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12007 190TH ST",
            "city": "MONTICELLO",
            "state": "IA",
            "postal_code": "523108060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12007 190TH ST",
            "city": "MONTICELLO",
            "state": "IA",
            "postal_code": "523108060",
            "telephone_number": "319-465-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP COURAGEOUS OF IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-465-5916",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "W2510",
            "identifier": "0117200",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Behrends Spine and Wellness PLLC
• Quinn Scott Behrends, DC
• Madison Nicole Bohlken
• Amanda Lyn Brenneman, ARNP, FNP-BC
• Emma Ann Brighton
• City of Monticello
• Broderick Eugene Clemmons
• County of Jones (Jets Transportation)
• Kristen K Decker, RD, LD
• Lacy Shay Doyle, M.A.

• Respite Care in Monticello, IA
• Providers in Monticello, IA by specialty
• Respite Care 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.