Organization Active NPI

Care Initiatives

Doing business as Avoca Lodge Assisted Living

  • Assisted Living Facility
  • Avoca, IA
National Provider Identifier
1437206190
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
S0138 Issued in IA
Legal business name
CARE INITIATIVES
Doing business as
Avoca Lodge Assisted Living
Practice address
612 E York Rd
Avoca, IA 51521-4504
Phone
(712) 343-2400
Fax
(712) 343-2501
NPI assigned
Jan 4, 2007
Last updated
Nov 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X S0138 IA Primary

Addresses

Primary practice location

612 E York Rd
Avoca, IA 51521-4504

Mailing address

1611 Westlakes Pkwy
West Des Moines, IA 50266-8212
Phone (515) 224-4442

Other identifiers 1

IdentifierTypeStateIssuer
0277517MedicaidIA

Other names 1

  • Avoca Lodge Assisted Living Doing business as

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
16D2193700Avoca Lodge Assisted Living612 E York Rd, Avoca, IA 51521Certificate of waiverSep 23, 2026

National Provider Directory

National Provider Directory
Tax ID family
Care Initiatives8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1437206190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 WESTLAKES PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668212",
            "telephone_number": "515-224-4442",
            "fax_number": "515-224-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E YORK RD",
            "city": "AVOCA",
            "state": "IA",
            "postal_code": "515214504",
            "telephone_number": "712-343-2400",
            "fax_number": "712-343-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE INITIATIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "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": "S0138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0277517",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avoca Lodge Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avoca Lodge Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avoca, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.