Active NPI
Abcm Corporation
Doing business as Northgate Care Center
- Skilled Nursing Facility
- Waukon, IA
National Provider Identifier
1639171077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 030421
- Legal business name
- ABCM CORPORATION
- Doing business as
- Northgate Care Center
- Practice address
- 960 4TH St NW
Waukon, IA 52172-1059 - Phone
- (563) 568-3493
- Fax
- (563) 568-3494
- NPI assigned
- Aug 15, 2005
- Last updated
- Nov 30, 2023
- 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
- Richard Allbee
- Title
- Ceo
- Phone
- (641) 456-5636
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Skilled Nursing Facility | 314000000X | 030421 | IA | Primary |
Addresses
Primary practice location
960 4TH St NW
Waukon, IA 52172-1059
Mailing address
1320 4TH St NE
Hampton, IA 50441-1104
Phone (641) 456-5636
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65338 | Other | IA | WELLMARK |
| WAIVER NOT ASSIGNED | Medicaid | IA | |
| 0804864 | Medicaid | IA |
Other names 1
- Northgate Care Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701302400000",
"number": "1639171077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 4TH ST NE",
"city": "HAMPTON",
"state": "IA",
"postal_code": "504411104",
"telephone_number": "641-456-5636",
"fax_number": "641-456-2320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 4TH ST NW",
"city": "WAUKON",
"state": "IA",
"postal_code": "521721059",
"telephone_number": "563-568-3493",
"fax_number": "563-568-3494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABCM CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-15",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A",
"authorized_official_last_name": "ALLBEE",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "641-456-5636"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IA",
"license": "030421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "65338",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WAIVER NOT ASSIGNED",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0804864",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Northgate Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Northgate Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Waukon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.