NPIMap

Organization Active NPI

Presbyterian Village

Doing business as Community Outreach

  • Home Delivered Meals
  • Ackley, IA
National Provider Identifier
1508857582
Registry record updated Oct 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
License
N-418 Issued in IA
Legal business name
PRESBYTERIAN VILLAGE
Doing business as
Community Outreach
Practice address
502 Butler St
Ackley, IA 50601-1730
Phone
(641) 847-3531
Fax
(641) 847-3428
NPI assigned
Oct 31, 2005
Last updated
Oct 12, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
PRESBYTERIAN VILLAGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2009

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

Authorized official

Name
Julie Hinders
Title
Ceo
Phone
(641) 847-3531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X N-418 IA Primary

Addresses

Primary practice location

502 Butler St
Ackley, IA 50601-1730

Mailing address

502 Butler St
Ackley, IA 50601-1730
Phone (641) 847-3531

Other identifiers 1

IdentifierTypeStateIssuer
0158766MedicaidIA

Other names 1

  • Community Outreach Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Presbyterian Village3 organizations share this tax ID, including this one
Part of
Presbyterian Village

Other organizations with this tax ID 2

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

Locations

502 Butler St
Ackley, IA 50601
Phone (641) 847-3531

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255305600000",
    "number": "1508857582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 BUTLER ST",
            "city": "ACKLEY",
            "state": "IA",
            "postal_code": "506011730",
            "telephone_number": "641-847-3531",
            "fax_number": "641-847-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BUTLER ST",
            "city": "ACKLEY",
            "state": "IA",
            "postal_code": "506011730",
            "telephone_number": "641-847-3531",
            "fax_number": "641-847-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN VILLAGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESBYTERIAN VILLAGE",
        "enumeration_date": "2005-10-31",
        "last_updated": "2009-10-12",
        "status": "A",
        "authorized_official_last_name": "HINDERS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "641-847-3531"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "IA",
            "license": "N-418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158766",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Outreach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ackley, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; 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.