NPIMap

Organization Active NPI

Hope Haven Area Development Center Corporation

  • Home Health Agency
  • Burlington, IA
National Provider Identifier
1720447063
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOPE HAVEN AREA DEVELOPMENT CENTER CORPORATION
Practice address
828 N 7TH St
Burlington, IA 52601-4921
Phone
(319) 754-4689
NPI assigned
Feb 15, 2016
Last updated
Feb 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Mr. Robert Bartles
Title
Executive Director
Phone
(319) 237-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

828 N 7TH St
Burlington, IA 52601-4921

Mailing address

828 N 7TH St
Burlington, IA 52601-4921
Phone (319) 754-4689

Other identifiers 7

IdentifierTypeStateIssuer
1093917171MedicaidIA
1902008089MedicaidIA
1801920525MedicaidIA
1881890788MedicaidIA
1144354614MedicaidIA
1215061197MedicaidIA
1275735342MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Hope Haven Cottonwood14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1720447063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 N 7TH ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526014921",
            "telephone_number": "319-754-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 N 7TH ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526014921",
            "telephone_number": "319-754-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HAVEN AREA DEVELOPMENT CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "BARTLES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-237-1333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093917171",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902008089",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801920525",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881890788",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144354614",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215061197",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275735342",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.