Prairie Hills at Ottumwa Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0259 Issued in IA

Legal business name

PRAIRIE HILLS AT OTTUMWA OPERATIONS LLC

Practice address

173 E Rochester St
Ottumwa, IA 52501

Phone

(641) 684-1871

Fax

(641) 684-5827

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Timothy R Hildebrandt

Title

Managing Member/Owner

Phone

(641) 472-0518

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1497946628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N 3RD ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562485",
            "telephone_number": "641-472-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 E ROCHESTER ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "52501",
            "telephone_number": "641-684-1871",
            "fax_number": "641-684-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE HILLS AT OTTUMWA OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "HILDEBRANDT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "641-472-0518",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payne M Pleima, CADC
• Ashley M Pooker, OTR
• Anthony Uriah Potter, MA
• Michael Powell, PTA
• Taniya Pradhan, M.D.
• Cathy Pringle-Maletta, CADC
• Elizabeth A Proctor
• Psychology Services of Ottumwa LLC
• Qualicenters Sioux City, LLC
• Paul S Quentzel, MD

• Assisted Living Facility in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.