Abilit Holdings (Clover Ridge Place) LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ABILIT HOLDINGS (CLOVER RIDGE PLACE) LLC

Doing business as

Clover Ridge Place

Practice address

205 Ehlers LN
Maquoketa, IA 52060-9615

Phone

(563) 652-2125

NPI assigned

Aug 8, 2019

Last updated

Aug 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cheri Orcutt

Title

Manager

Phone

(563) 652-2125

Specialties & licenses 1

Addresses

Other names 1

• Clover Ridge Place Doing business as

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1609421429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 EHLERS LN",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520609615",
            "telephone_number": "563-652-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 EHLERS LN",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520609615",
            "telephone_number": "563-652-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILIT HOLDINGS (CLOVER RIDGE PLACE) LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "ORCUTT",
        "authorized_official_first_name": "CHERI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "563-652-2125"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clover Ridge Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Maquoketa, IA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.