Garnett Place Retirement Community

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0113 Issued in IA

Legal business name

GARNETT PLACE RETIREMENT COMMUNITY

Practice address

208 35TH Street Dr SE
Cedar Rapids, IA 52403-1357

Phone

(319) 362-3630

Fax

(319) 247-5791

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Malcom Sigler, R.N.

Title

Manager

Phone

(319) 362-3630

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1437362886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 35TH STREET DR SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031357",
            "telephone_number": "319-362-3630",
            "fax_number": "319-247-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 35TH STREET DR SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031357",
            "telephone_number": "319-362-3630",
            "fax_number": "319-247-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNETT PLACE RETIREMENT COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "SIGLER",
        "authorized_official_first_name": "MALCOM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "319-362-3630",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0470203",
            "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 Aug 14, 2007; 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.