Organization Active NPI

Balance Autism

  • Intellectual Disabilities Intermediate Care Facility
  • Altoona, IA
National Provider Identifier
1497802128
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
770938 Issued in IA
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.

National Provider Directory

National Provider Directory
Tax ID family
Balance Autism (5 organizations share this tax ID)

Locations

8272 NE University Ave
Pleasant Hill, IA 50327

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
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 Registry

Primary 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
IdentifierTypeStateIssuer
0881276MedicaidIA
0881763MedicaidIA
0129635MedicaidIA

Other names 1

NPPES NPI Registry
  • The Homestead Autism Services Doing business as

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.

Verify at the official NPI Registry.