Organization Active NPI

Ringgold County Group Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Mount Ayr, IA
National Provider Identifier
1356414239
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
RINGGOLD COUNTY GROUP HOME
Practice address
111 Ringgold St
Mount Ayr, IA 50854-1215
Phone
(641) 464-2871
Fax
(641) 464-3137
NPI assigned
Nov 16, 2006
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
Mr. Fred V Shields, QMRP
Title
Administrator
Phone
(641) 464-2871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

111 Ringgold St
Mount Ayr, IA 50854-1215

Mailing address

111 Ringgold Street
Mount Ayr, IA 50854
Phone (641) 464-2871

National Provider Directory

National Provider Directory

Locations

111 Ringgold St
Mount Ayr, IA 50854
Phone (541) 464-2871

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356414239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 RINGGOLD STREET",
            "city": "MOUNT AYR",
            "state": "IA",
            "postal_code": "50854",
            "telephone_number": "641-464-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 RINGGOLD ST",
            "city": "MOUNT AYR",
            "state": "IA",
            "postal_code": "508541215",
            "telephone_number": "641-464-2871",
            "fax_number": "641-464-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RINGGOLD COUNTY GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "641-464-2871",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QMRP"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Ayr, 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.