Active NPI
Humboldt Workshop
- Developmentally Disabled Services Day Training Agency
- Humboldt, IA
National Provider Identifier
1598839359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- HUMBOLDT WORKSHOP
- Practice address
- 21 Taft St N
Humboldt, IA 50548-1768 - Phone
- (515) 332-2841
- Fax
- (515) 332-1915
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Joan Marie Kellner
- Title
- Chief Financial Officer
- Phone
- (515) 332-2841
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | IA | Primary |
Addresses
Primary practice location
21 Taft St N
Humboldt, IA 50548-1768
Mailing address
21 Taft St N
Humboldt, IA 50548-1768
Phone (515) 332-2841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0137869 | Medicaid | IA |
National Provider Directory
National Provider Directory- Tax ID family
- Humboldt Workshop Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Custodial Care Facility
- Humboldt, IA
- NPI 1841373735
-
- Developmentally Disabled Services Day Training Agency
- Humboldt, IA
- NPI 1003965443
-
- Nursing Facility/Intermediate Care Facility
- Humboldt, IA
- NPI 1932310984
Locations
21 Taft St N
Humboldt, IA 50548
Phone (515) 332-2841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1598839359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 TAFT ST N",
"city": "HUMBOLDT",
"state": "IA",
"postal_code": "505481768",
"telephone_number": "515-332-2841",
"fax_number": "515-332-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 TAFT ST N",
"city": "HUMBOLDT",
"state": "IA",
"postal_code": "505481768",
"telephone_number": "515-332-2841",
"fax_number": "515-332-1915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUMBOLDT WORKSHOP",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "KELLNER",
"authorized_official_first_name": "JOAN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "515-332-2841",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0137869",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Humboldt, IA
- Humboldt County Memorial Hospital
- Humboldt County Memorial Hospital
- Humboldt County Memorial Hospital
- Humboldt County Memorial Hospital
- Humboldt Spine & Rehab PC
- Humboldt Workshop, Inc
- Humboldt Workshop, Inc.
- Humboldt Workshop, Inc.
- Hy-Vee Inc (Hy-Vee Pharmacy)
- Indianhead Investments, LLC (Three Rivers Eye Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.