Organization Active NPI

Barthell Oes Home

  • Assisted Living Facility
  • Decorah, IA
National Provider Identifier
1407922396
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
S 0081 Issued in IA
Legal business name
BARTHELL OES HOME
Practice address
911 Ridgewood Dr
Decorah, IA 52101-2354
Phone
(563) 382-8777
Fax
(563) 382-8788
NPI assigned
Nov 24, 2006
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
Karl T. Jacobsen, R.N.
Title
Administrator
Phone
(563) 382-8777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X S 0081 IA Primary

Addresses

Primary practice location

911 Ridgewood Dr
Decorah, IA 52101-2354

Mailing address

911 Ridgewood Dr
Decorah, IA 52101-2354
Phone (563) 382-8777

Other identifiers 1

IdentifierTypeStateIssuer
S 0081OtherIACERT

Other names 1

  • Arlin Falck Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arlin Falck Assisted Living3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407922396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 RIDGEWOOD DR",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012354",
            "telephone_number": "563-382-8777",
            "fax_number": "563-382-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 RIDGEWOOD DR",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012354",
            "telephone_number": "563-382-8777",
            "fax_number": "563-382-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTHELL OES HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "563-382-8777",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S 0081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERT",
            "identifier": "S 0081",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arlin Falck Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decorah, 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.