Cozy Corner Adult Day Care

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

ADS109 Issued in IA

Legal business name

COZY CORNER ADULT DAY CARE

Practice address

2785 Pennsylvania Ave
Dubuque, IA 52001-5460

Phone

(563) 690-6900

Fax

(563) 552-7178

NPI assigned

Jul 14, 2016

Organization subpart

No

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

Authorized official

Name

Mariko Wilbricht

Title

Administrator

Phone

(563) 690-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1700239712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 PENNSYLVANIA AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520015460",
            "telephone_number": "563-690-6900",
            "fax_number": "563-552-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 PENNSYLVANIA AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520015460",
            "telephone_number": "563-690-6900",
            "fax_number": "563-552-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COZY CORNER ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "WILBRICHT",
        "authorized_official_first_name": "MARIKO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "563-690-6900"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "IA",
            "license": "ADS109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0459503",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Covenant Care Ennoble, LLC (Ennoble Skilled Nursing and Rehabilitation Center)
• Brian Welford Covey, M.D.
• Caitlyn Sue Cox
• Kathryn Coyle
• Bradley Richard Coyne
• Debra Lynne Crabtree-Runde
• Catherine M Crall, M.D.
• Craig Russell Cram, RPH
• Joan Lea Cram, RPH
• Bobby Cratton

• Adult Day Care Clinic/Center in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Adult Day Care Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.