Rotary Club of Rock Valley Foundation, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

0469841 Issued in IA

Legal business name

ROTARY CLUB OF ROCK VALLEY FOUNDATION, INC.

Doing business as

Senior Companion Program

Practice address

1510 14TH St
Rock Valley, IA 51247-1207

Phone

(712) 476-2628

Fax

(712) 476-3457

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Denise Nelsen

Title

Program Director

Phone

(712) 476-2628

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Senior Companion Program Doing business as

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1437365731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 14TH ST",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471207",
            "telephone_number": "712-476-2628",
            "fax_number": "712-476-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 14TH ST",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471207",
            "telephone_number": "712-476-2628",
            "fax_number": "712-476-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTARY CLUB OF ROCK VALLEY FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "NELSEN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "712-476-2628"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "IA",
            "license": "0469841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0469841",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Companion Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rise ABA LLC
• Rock Valley Assisted Living LLC
• Rock Valley Chiropractic, LLC
• Rock Valley Community School District
• Rock Valley Phcy Inc
• Danielle Joy Rowland, OTD, OTR/L
• Claire Rozeboom
• Rvfe LLC
• Samuel L. Koth, DDS, PC
• Sanford Medical Center

• Voluntary or Charitable Agency in Rock Valley, IA
• Providers in Rock Valley, IA by specialty
• Voluntary or Charitable Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.