Madrid Home for the Aging
Organization Active NPI Assisted Living Facility · Madrid, IA
NPI 1366516239 · NPPES record last updated Jul 16, 2019
Key facts
- NPI
- 1366516239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- S0176 (IA)
- Legal business name
- MADRID HOME FOR THE AGING
- Practice address
- 600 N Kennedy Ave
Madrid, IA 50156-7608 - Phone
- (515) 795-4097
- Fax
- (515) 795-4286
- NPI assigned
- Nov 20, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- MADRID HOME FOR THE AGING
Authorized official
- Name
- Kris J Hansen
- Title
- President Ceo
- Phone
- (515) 795-3007
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Madrid Home for the Aging
- Part of
- Madrid Home for the Aging
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | S0176 | IA | Yes |
Addresses
Primary practice location
600 N Kennedy Ave
Madrid, IA 50156-7608
Mailing address
600 N Kennedy Ave
Madrid, IA 50156-7608
Phone (515) 795-4097
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0298943 | Medicaid | IA |
Other names
- The Cedars of of Madrid Homes
Other providers in Madrid, IA
- Lynzy Lentz
- Logan Lester
- Madrid Community School District
- Madrid Family Practice Clinic
- Madrid Home for the Aging
- Madrid Home for the Aging
- Shana Lynn Martinez
- Brett Mathes
- Katherine Meusburger
- Lisa Nerem
All providers in Madrid, IA · Assisted Living Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.