Keokuk Area Group Home

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

56-0091 Issued in IA

Legal business name

KEOKUK AREA GROUP HOME

Practice address

317 High St
Keokuk, IA 52632-5939

Phone

(319) 524-1871

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Cevin T Coffield

Title

Administrator

Phone

(319) 524-1871

Specialties & licenses 2

Addresses

Tax ID family

Keokuk Area Group Home2 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.

• Keokuk Area Group Home

  • Adult Care Home Facility
  • Keokuk, IA
  • NPI 1790842615
  NPD tax ID

Locations

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1679779490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 HIGH ST",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526325939",
            "telephone_number": "319-524-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 HIGH ST",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526325939",
            "telephone_number": "319-524-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEOKUK AREA GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "COFFIELD",
        "authorized_official_first_name": "CEVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "319-524-1871",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IA",
            "license": "56-0091",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IA",
            "license": "56-0091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew William Kearse, D.C.
• Keaslings Corp
• Keith Keller, L.M.S.W
• Christina Kelly, APRN, FNP-C
• Keokuk Anethesia Associates
• Keokuk Area Group Home
• Keokuk Area Hospital
• Keokuk Area Hospital
• Keokuk Area Hospital
• Keokuk Area Hospital

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Keokuk, IA
• Providers in Keokuk, IA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.