NPIMap

Organization Active NPI

Marion County Care Facility

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Knoxville, IA
National Provider Identifier
1629293527
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
630531 Issued in IA
Legal business name
MARION COUNTY CARE FACILITY
Practice address
1111 Newbold St
Knoxville, IA 50138-8605
Phone
(641) 828-0622
Fax
(641) 828-0622
NPI assigned
Apr 16, 2007
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
Mr. Randall Kelley
Title
Administrator
Phone
(641) 828-0622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 630531 IA Primary

Addresses

Primary practice location

1111 Newbold St
Knoxville, IA 50138-8605

Mailing address

1111 Newbold St
Knoxville, IA 50138-8605
Phone (641) 828-0622

National Provider Directory

National Provider Directory
Tax ID family
Marion County Care Facility2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629293527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 NEWBOLD ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501388605",
            "telephone_number": "641-828-0622",
            "fax_number": "641-828-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 NEWBOLD ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501388605",
            "telephone_number": "641-828-0622",
            "fax_number": "641-828-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION COUNTY CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "641-828-0622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IA",
            "license": "630531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, 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.