NPIMap

Organization Active NPI

Abbe Center for CMH @ Good Sam Nursing Home

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cedar Rapids, IA
National Provider Identifier
1629386206
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ABBE CENTER FOR CMH @ GOOD SAM NURSING HOME
Practice address
520 11TH St NW
Cedar Rapids, IA 52405-3811
Phone
(319) 398-3562
Fax
(319) 398-3501
NPI assigned
Sep 17, 2010
Last updated
Sep 17, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ABBE CENTER FOR COMMUNITY MENTAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Cindy KaestnerNPI 1104999754
Title
Director
Phone
(319) 398-3562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

520 11TH St NW
Cedar Rapids, IA 52405-3811

Mailing address

201 Hall St
West Union, IA 52175-1006
Phone (563) 422-5344

Other identifiers 1

IdentifierTypeStateIssuer
0074575MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Abbe Center Comm Mental27 organizations share this tax ID, including this one
Part of
Abbe Center Comm Mental

Other organizations with this tax ID 26

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

View all 26

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1629386206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HALL ST",
            "city": "WEST UNION",
            "state": "IA",
            "postal_code": "521751006",
            "telephone_number": "563-422-5344",
            "fax_number": "563-422-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 11TH ST NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524053811",
            "telephone_number": "319-398-3562",
            "fax_number": "319-398-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBE CENTER FOR CMH @ GOOD SAM NURSING HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABBE CENTER FOR COMMUNITY MENTAL HEALTH",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "KAESTNER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "319-398-3562"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074575",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.