Organization Active NPI

Forest Plaza Assisted Living

  • Assisted Living Facility
  • Forest City, IA
National Provider Identifier
1699987586
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
SO131 Issued in IA
Legal business name
FOREST PLAZA ASSISTED LIVING
Practice address
635 Highway 9 East
Forest City, IA 50436
Phone
(641) 585-1555
Fax
(641) 585-2522
NPI assigned
May 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Lonny Smith, SW
Title
Manager
Phone
(641) 585-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X SO131 IA Primary

Addresses

Primary practice location

635 Highway 9 East
Forest City, IA 50436

Mailing address

635 Highway 9 East
Forest City, IA 50436
Phone (641) 585-1555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699987586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 HIGHWAY 9 EAST",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "50436",
            "telephone_number": "641-585-1555",
            "fax_number": "641-585-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 HIGHWAY 9 EAST",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "50436",
            "telephone_number": "641-585-1555",
            "fax_number": "641-585-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST PLAZA ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LONNY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "641-585-1555",
        "authorized_official_credential": "SW"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "SO131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, 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.