Organization Active NPI

Midwest Properties of Ida Grove L.L.C.

Doing business as Golden Horizons of Ida Grove

  • Assisted Living Facility
  • Ida Grove, IA
National Provider Identifier
1508162264
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
S0316 Issued in IA
Legal business name
MIDWEST PROPERTIES OF IDA GROVE L.L.C.
Doing business as
Golden Horizons of Ida Grove
Practice address
800 Byron Godbersen Dr
Ida Grove, IA 51445
Phone
(712) 364-4128
Fax
(712) 364-2002
NPI assigned
Jan 28, 2011
Last updated
Jan 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Jeana Kay Robinette
Title
Vice President of Management
Phone
(218) 568-6610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X S0316 IA Primary

Addresses

Primary practice location

800 Byron Godbersen Dr
Ida Grove, IA 51445

Mailing address

800 Byron Godbersen Dr
Ida Grove, IA 51445
Phone (712) 364-4128

Other names 1

  • Golden Horizons of Ida Grove Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1508162264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BYRON GODBERSEN DR",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "51445",
            "telephone_number": "712-364-4128",
            "fax_number": "712-364-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BYRON GODBERSEN DR",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "51445",
            "telephone_number": "712-364-4128",
            "fax_number": "712-364-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PROPERTIES OF IDA GROVE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "ROBINETTE",
        "authorized_official_first_name": "JEANA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "VICE PRESIDENT OF MANAGEMENT",
        "authorized_official_telephone_number": "218-568-6610"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Horizons of Ida Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ida Grove, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.