Organization Active NPI

Iowa N.H., L.L.C.

  • Skilled Nursing Facility
  • Muscatine, IA
National Provider Identifier
1508924499
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
701074 Issued in IA
Legal business name
IOWA N.H., L.L.C.
Practice address
3440 Mulberry Ave
Muscatine, IA 52761-2323
Phone
(563) 263-2194
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard Angell
Title
Owner
Phone
(847) 583-1502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 701074 IA Primary

Addresses

Primary practice location

3440 Mulberry Ave
Muscatine, IA 52761-2323

Mailing address

5225 Old Orchard Rd
Suite 23a
Skokie, IL 60077-4405

Other identifiers 1

IdentifierTypeStateIssuer
701074OtherIASTATE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508924499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 OLD ORCHARD RD",
            "address_2": "SUITE 23A",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 MULBERRY AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612323",
            "telephone_number": "563-263-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA N.H., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANGELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-583-1502"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "701074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "701074",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.