Organization Active NPI

Birdee Cottage, LLC

  • Assisted Living Facility
  • Waterloo, IA
National Provider Identifier
1750045993
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BIRDEE COTTAGE, LLC
Practice address
2221 Fairway LN
Waterloo, IA 50701-3870
Phone
(319) 300-5177
NPI assigned
Oct 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Kim Meyer
Title
Director
Phone
(319) 300-5177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2221 Fairway LN
Waterloo, IA 50701-3870

Mailing address

2221 Fairway LN
Waterloo, IA 50701-3870
Phone (319) 300-5177

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2272876Birdee Cottage Assisted Living and Memory Care2221 Fairway LN, Waterloo, IA 50701Certificate of waiverNov 30, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1750045993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 FAIRWAY LN",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507013870",
            "telephone_number": "319-300-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 FAIRWAY LN",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507013870",
            "telephone_number": "319-300-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRDEE COTTAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "319-300-5177"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.