Arhc Smmdsia01 TRS, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ARHC SMMDSIA01 TRS, LLC

Doing business as

Addington Place of Fort Madison

Practice address

5025 River Valley Rd
Fort Madison, IA 52627-7605

Phone

(319) 372-8611

NPI assigned

Jan 14, 2022

Organization subpart

No

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

Authorized official

Name

Lisa Wellman

Title

Administrative Assistant

Phone

(319) 372-8611

Specialties & licenses 1

Addresses

Other names 1

• Addington Place of Fort Madison Doing business as

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1538810270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 RIVER VALLEY RD",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526277605",
            "telephone_number": "319-372-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 RIVER VALLEY RD",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526277605",
            "telephone_number": "319-372-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARHC SMMDSIA01 TRS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "WELLMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "319-372-8611"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addington Place of Fort Madison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Fort Madison, IA
• Providers in Fort Madison, 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 Jan 14, 2022; 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.