Organization Active NPI

Linn County

  • Developmentally Disabled Services Day Training Agency
  • Cedar Rapids, IA
National Provider Identifier
1437584497
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
0740241 Issued in IA
Legal business name
LINN COUNTY
Practice address
1240 26TH Avenue CT SW
Cedar Rapids, IA 52404-3402
Phone
(319) 892-5606
Fax
(319) 892-5619
NPI assigned
Sep 10, 2013
Organization subpart
Yes
Parent organization
LINN COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Mr. Jim Nagel
Title
Director
Phone
(319) 892-5803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 0740241 IA Primary

Addresses

Primary practice location

1240 26TH Avenue CT SW
Cedar Rapids, IA 52404-3402

Mailing address

1240 26TH Avenue CT SW
Cedar Rapids, IA 52404-3402
Phone (319) 892-5606

Other identifiers 1

IdentifierTypeStateIssuer
0740241MedicaidIA

Other names 1

  • Options of Linn County Other name

National Provider Directory

National Provider Directory
Tax ID family
County of Linn10 organizations share this tax ID, including this one
Part of
County of Linn

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1240 26th Avenue Ct SW
Cedar Rapids, IA 52404
Phone (319) 892-5606

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1437584497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 26TH AVENUE CT SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043402",
            "telephone_number": "319-892-5606",
            "fax_number": "319-892-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 26TH AVENUE CT SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043402",
            "telephone_number": "319-892-5606",
            "fax_number": "319-892-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINN COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LINN COUNTY",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "NAGEL",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "319-892-5803",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IA",
            "license": "0740241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0740241",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Options of Linn County",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.