NPIMap

Organization Active NPI

Kathleens Residential Care Inc

  • Custodial Care Facility
  • Emmetsburg, IA
National Provider Identifier
1356415152
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
RC7 018 Issued in IA
Legal business name
KATHLEENS RESIDENTIAL CARE INC
Practice address
1505 E 5TH St
Emmetsburg, IA 50536-1403
Phone
(712) 852-2267
Fax
(712) 852-2362
NPI assigned
Nov 20, 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. Dennis C Vician
Title
Administrator
Phone
(712) 852-2267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X RC7 018 IA Primary

Addresses

Primary practice location

1505 E 5TH St
Emmetsburg, IA 50536-1403

Mailing address

1505 E 5TH St
PO Box 279
Emmetsburg, IA 50536-1403
Phone (712) 852-2267

National Provider Directory

National Provider Directory
Tax ID family
Kathleens Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356415152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 E 5TH ST",
            "address_2": "PO BOX 279",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505361403",
            "telephone_number": "712-852-2267",
            "fax_number": "712-852-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 E 5TH ST",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505361403",
            "telephone_number": "712-852-2267",
            "fax_number": "712-852-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEENS RESIDENTIAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VICIAN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "712-852-2267",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "IA",
            "license": "RC7 018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmetsburg, 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.