Active NPI
Page Care Facility
Doing business as Terrace View Residential
- Custodial Care Facility
- Clarinda, IA
National Provider Identifier
1760672398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- License
- 730943
- Legal business name
- PAGE CARE FACILITY
- Doing business as
- Terrace View Residential
- Practice address
- 1020 W State St
Clarinda, IA 51632-1300 - Phone
- (712) 542-3530
- Fax
- (712) 542-2779
- NPI assigned
- Jul 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Becky J Smith
- Title
- Administrator
- Phone
- (712) 542-3530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | 730943 | IA | Primary |
Addresses
Primary practice location
1020 W State St
Clarinda, IA 51632-1300
Mailing address
1020 W State St
Clarinda, IA 51632-1300
Phone (712) 542-3530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0739375 | Medicaid | IA |
Other names 1
- Terrace View Residential
National Provider Directory
National Provider Directory- Tax ID family
- Page Care Facility
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185753600000",
"number": "1760672398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 W STATE ST",
"city": "CLARINDA",
"state": "IA",
"postal_code": "516321300",
"telephone_number": "712-542-3530",
"fax_number": "712-542-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 W STATE ST",
"city": "CLARINDA",
"state": "IA",
"postal_code": "516321300",
"telephone_number": "712-542-3530",
"fax_number": "712-542-2779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAGE CARE FACILITY",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-30",
"last_updated": "2007-07-30",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "BECKY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "712-542-3530"
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "IA",
"license": "730943",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0739375",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Terrace View Residential",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Clarinda, IA
- Novus Anesthesia of Iowa, LLC
- Wade Ott
- Page Care Facility (Terrace View Residential)
- Page Care Facility (terrace view residential)
- Page Care Facility (Terrace View Residential)
- Page Home Care
- Phill Mont Company (Medicap Pharmacy)
- Jennifer N Phillips-Herrington, L.B.S.W.
- Hallena Phillips
- Douglas Elton Poland, L.M.S.W.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.