NPIMap

Organization Active NPI

Louisa County Community Services

  • Case Management Agency
  • Wapello, IA
National Provider Identifier
1457403701
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
0071654 Issued in IA
Legal business name
LOUISA COUNTY COMMUNITY SERVICES
Practice address
407 Washington St
Wapello, IA 52653-1431
Phone
(319) 523-5125
NPI assigned
Jan 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pat Foor
Title
Targeted Case Management Director
Phone
(319) 523-5125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 0071654 IA Primary

Addresses

Primary practice location

407 Washington St
Wapello, IA 52653-1431

Mailing address

407 Washington St
Wapello, IA 52653-1431
Phone (319) 523-5125

Other identifiers 1

IdentifierTypeStateIssuer
0071654OtherIAPROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
County of Louisa3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

407 Washington St
Wapello, IA 52653
Phone (319) 523-5125

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457403701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 WASHINGTON ST",
            "city": "WAPELLO",
            "state": "IA",
            "postal_code": "526531431",
            "telephone_number": "319-523-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 WASHINGTON ST",
            "city": "WAPELLO",
            "state": "IA",
            "postal_code": "526531431",
            "telephone_number": "319-523-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISA COUNTY COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOOR",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "TARGETED CASE MANAGEMENT DIRECTOR",
        "authorized_official_telephone_number": "319-523-5125"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IA",
            "license": "0071654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "0071654",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wapello, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.