Organization Active NPI

Deerfield Retirement Community Inc

  • Skilled Nursing Facility
  • Urbandale, IA
National Provider Identifier
1417235649
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
770961 Issued in IA
Legal business name
DEERFIELD RETIREMENT COMMUNITY INC
Practice address
13731 Hickman Rd
Urbandale, IA 50323-2193
Phone
(515) 331-6942
Fax
(515) 331-6955
NPI assigned
Jul 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Kay Parkinson
Title
Director of Health Services
Phone
(515) 331-6942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 770961 IA Primary

Addresses

Primary practice location

13731 Hickman Rd
Urbandale, IA 50323-2193

Mailing address

13731 Hickman Rd
Urbandale, IA 50323-2193
Phone (515) 331-6942

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1417235649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13731 HICKMAN RD",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232193",
            "telephone_number": "515-331-6942",
            "fax_number": "515-331-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13731 HICKMAN RD",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232193",
            "telephone_number": "515-331-6942",
            "fax_number": "515-331-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD RETIREMENT COMMUNITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "PARKINSON",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH SERVICES",
        "authorized_official_telephone_number": "515-331-6942"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "770961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.