Active NPI
Barthell Oes Home
- Assisted Living Facility
- Decorah, IA
National Provider Identifier
1407922396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- S 0081
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S 0081 | Other | IA | CERT |
Other names 1
- Arlin Falck Assisted Living
National Provider Directory
National Provider Directory- Tax ID family
- Arlin Falck Assisted Living
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility/Intermediate Care Facility
- Decorah, IA
- NPI 1285620526
-
- Nursing Facility/Intermediate Care Facility
- Decorah, IA
- NPI 1386711125
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.