Organization Active NPI

Brees Rest Home Inc

  • Physical Disabilities Residential Treatment Facility
  • Albia, IA
National Provider Identifier
1366589004
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
BREES REST HOME INC
Practice address
210 Washington Ave E
Albia, IA 52531
Phone
(641) 932-5517
Fax
(641) 932-5517
NPI assigned
Jan 31, 2007
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
Ms. Heather Jo Hindman, ADMINISTRATIVE
Title
President Administrator
Phone
(641) 932-5517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X Primary

Addresses

Primary practice location

210 Washington Ave E
Albia, IA 52531

Mailing address

210 Washington Ave E
Albia, IA 52531
Phone (641) 932-5517

Other identifiers 1

IdentifierTypeStateIssuer
0896720MedicaidIA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0943802Brees Rest Home210 Washington Ave East, Albia, IA 52531Certificate of waiverApr 2, 2028

National Provider Directory

National Provider Directory

Locations

210 Washington Ave E
Albia, IA 52531
Phone (641) 932-5517

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366589004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WASHINGTON AVE E",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "52531",
            "telephone_number": "641-932-5517",
            "fax_number": "641-932-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WASHINGTON AVE E",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "52531",
            "telephone_number": "641-932-5517",
            "fax_number": "641-932-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREES REST HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HINDMAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRESIDENT ADMINISTRATOR",
        "authorized_official_telephone_number": "641-932-5517",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ADMINISTRATIVE"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0896720",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albia, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.