Active NPI
Deerfield Retirement Community Inc
- Skilled Nursing Facility
- Urbandale, IA
National Provider Identifier
1336186188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 165557
- Legal business name
- DEERFIELD RETIREMENT COMMUNITY INC
- Practice address
- 13731 Hickman Rd
Urbandale, IA 50323-2193 - Phone
- (515) 267-0438
- Fax
- (515) 267-0697
- NPI assigned
- Jun 1, 2006
- Organization subpart
- Yes
- Parent organization
- DEERFIELD RETIREMENT COMMUNITY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Harrison
- Title
- President/Ceo
- Phone
- (515) 288-5805
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | S0217 | IA | |
| Skilled Nursing Facility | 314000000X | 165557 | IA | Primary |
Addresses
Primary practice location
13731 Hickman Rd
Urbandale, IA 50323-2193
Mailing address
13731 Hickman Rd
Urbandale, IA 50323-2193
Phone (515) 267-0438
National Provider Directory
National Provider Directory- Part of
- Deerfield Retirement Community
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272931200000",
"number": "1336186188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13731 HICKMAN RD",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503232193",
"telephone_number": "515-267-0438",
"fax_number": "515-267-0697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13731 HICKMAN RD",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503232193",
"telephone_number": "515-267-0438",
"fax_number": "515-267-0697"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEERFIELD RETIREMENT COMMUNITY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DEERFIELD RETIREMENT COMMUNITY INC",
"enumeration_date": "2006-06-01",
"last_updated": "2010-05-04",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "515-288-5805"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "IA",
"license": "S0217",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IA",
"license": "165557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.