Arhc Psindia01 TRS

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ARHC PSINDIA01 TRS

Doing business as

Prairie Hills at Independence

Practice address

505 Enterprise Dr
Independence, IA 50644-9603

Phone

(319) 334-2000

Fax

(319) 334-3015

NPI assigned

Jan 5, 2020

Last updated

Jan 5, 2020By 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

Brett Ingersoll

Title

Manager

Phone

(319) 334-2000

Specialties & licenses 1

Addresses

Other names 1

• Prairie Hills at Independence Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1578182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578182400000",
    "number": "1679112841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 ENTERPRISE DR",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506449603",
            "telephone_number": "319-334-2000",
            "fax_number": "319-334-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 ENTERPRISE DR",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506449603",
            "telephone_number": "319-334-2000",
            "fax_number": "319-334-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARHC PSINDIA01 TRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-05",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A",
        "authorized_official_last_name": "INGERSOLL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "319-334-2000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Hills at Independence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanne Marie Adams, PHARM D
• Cortney Lynn Alber, LISW
• Kathy Ann Allsup
• American Secure Car LLC
• John Joseph Arend, DDS
• Heidi J Arnold
• B & D Services, Inc.
• B & D Services, Inc.
• Benjamin Bagge, PT, DPT
• Megan Bahr

• Assisted Living Facility in Independence, IA
• Providers in Independence, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.