Lamoni Assisted Living, L.L.C.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0256 Issued in IA

Legal business name

LAMONI ASSISTED LIVING, L.L.C.

Practice address

810 E 3Rd
Lamoni, IA 50140

Phone

(641) 784-3388

Fax

(641) 784-8913

NPI assigned

Jun 15, 2007

Last updated

Nov 10, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Dixon

Title

SVP/Cfo

Phone

(515) 224-4442

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1407051923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E 3RD",
            "city": "LAMONI",
            "state": "IA",
            "postal_code": "50140",
            "telephone_number": "641-784-3388",
            "fax_number": "641-784-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E 3RD",
            "city": "LAMONI",
            "state": "IA",
            "postal_code": "50140",
            "telephone_number": "641-784-3388",
            "fax_number": "641-784-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMONI ASSISTED LIVING, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SVP/CFO",
        "authorized_official_telephone_number": "515-224-4442"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0790477",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.