Active NPI
Balance Autism
- Intellectual Disabilities Intermediate Care Facility
- Altoona, IA
National Provider Identifier
1497802128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 770938
- Legal business name
- BALANCE AUTISM
- Practice address
- 1625 Adventureland Dr Ste B
Altoona, IA 50009-2237 - Phone
- (515) 967-4369
- Fax
- (515) 957-3380
- NPI assigned
- Jan 4, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Luann Jahner
- Title
- Operations Director
- Phone
- (515) 957-3342
Corporate family (same tax ID) 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Altoona, IA
- NPI 1437290129
-
- Intellectual Disabilities Intermediate Care Facility
- Altoona, IA
- NPI 1629125497
-
- Speech-Language Pathologist
- Altoona, IA
- NPI 1720204191
-
- Developmentally Disabled Services Day Training Agency
- Altoona, IA
- NPI 1821460833
National Provider Directory
National Provider Directory- Tax ID family
- Balance Autism
Locations
8272 NE University Ave
Pleasant Hill, IA 50327
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | IA | ||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | IA | ||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 770938 | IA | Primary |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 1MR844 | IA |
Addresses
NPPES NPI RegistryPrimary practice location
1625 Adventureland Dr Ste B
Altoona, IA 50009-2237
Mailing address
8272 NE University Avenue
Pleasant Hill, IA 50327-8030
Phone (515) 967-4369
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0881276 | Medicaid | IA | |
| 0881763 | Medicaid | IA | |
| 0129635 | Medicaid | IA |
Other names 1
NPPES NPI Registry- The Homestead Autism Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2018.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542240000000",
"number": "1497802128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8272 NE UNIVERSITY AVENUE",
"city": "PLEASANT HILL",
"state": "IA",
"postal_code": "503278030",
"telephone_number": "515-967-4369",
"fax_number": "515-957-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 ADVENTURELAND DR STE B",
"city": "ALTOONA",
"state": "IA",
"postal_code": "500092237",
"telephone_number": "515-967-4369",
"fax_number": "515-957-3380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCE AUTISM",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2018-11-15",
"status": "A",
"authorized_official_last_name": "JAHNER",
"authorized_official_first_name": "LUANN",
"authorized_official_title_or_position": "OPERATIONS DIRECTOR",
"authorized_official_telephone_number": "515-957-3342"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "IA",
"license": null,
"primary": false
},
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "IA",
"license": null,
"primary": false
},
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "IA",
"license": "770938",
"primary": true
},
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "IA",
"license": "1MR844",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0881276",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0881763",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0129635",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Homestead Autism Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Altoona, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.