Organization Active NPI

Arlington Place of Grundy Center

  • Point of Service
  • Grundy Center, IA
National Provider Identifier
1538374178
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
S0112 Issued in IA
Legal business name
ARLINGTON PLACE OF GRUNDY CENTER
Practice address
95 D Ave
Grundy Center, IA 50638-1950
Phone
(319) 824-5674
Fax
(319) 824-5676
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Janet J Sandell
Title
Housing Manager
Phone
(319) 824-5674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X S0112 IA Primary

Addresses

Primary practice location

95 D Ave
Grundy Center, IA 50638-1950

Mailing address

95 D Ave
Grundy Center, IA 50638-1950
Phone (319) 824-5674

Other identifiers 1

IdentifierTypeStateIssuer
0230490MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538374178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 D AVE",
            "city": "GRUNDY CENTER",
            "state": "IA",
            "postal_code": "506381950",
            "telephone_number": "319-824-5674",
            "fax_number": "319-824-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 D AVE",
            "city": "GRUNDY CENTER",
            "state": "IA",
            "postal_code": "506381950",
            "telephone_number": "319-824-5674",
            "fax_number": "319-824-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON PLACE OF GRUNDY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDELL",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "HOUSING MANAGER",
        "authorized_official_telephone_number": "319-824-5674",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "IA",
            "license": "S0112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0230490",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grundy Center, 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.