Active NPI
Care Initiatives
Doing business as Valley Lodge Assisted Living
- Assisted Living Facility
- Correctionville, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- S0140
- Legal business name
- CARE INITIATIVES
- Doing business as
- Valley Lodge Assisted Living
- Practice address
- 1118 Highway 20
Correctionville, IA 51016-8056 - Phone
- (712) 372-4466
- Fax
- (712) 372-4251
- NPI assigned
- Jan 4, 2007
- Last updated
- Nov 10, 2022
- 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
- David Dixon
- Title
- SVP/Cfo
- Phone
- (515) 224-4442
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | S0140 | IA | Primary |
Addresses
Primary practice location
1118 Highway 20
Correctionville, IA 51016-8056
Mailing address
1611 Westlakes Pkwy
West Des Moines, IA 50266-8212
Phone (515) 224-4442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0256040 | Medicaid | IA |
Other names 1
- Valley Lodge Assisted Living
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2193806 | Valley Lodge Assisted Living | Certificate of waiver | Sep 23, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Care Initiatives
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-
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-
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668038400000",
"number": "1770630436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 WESTLAKES PKWY",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668212",
"telephone_number": "515-224-4442",
"fax_number": "515-224-0960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 HIGHWAY 20",
"city": "CORRECTIONVILLE",
"state": "IA",
"postal_code": "510168056",
"telephone_number": "712-372-4466",
"fax_number": "712-372-4251"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE INITIATIVES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A",
"authorized_official_last_name": "DIXON",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "SVP/CFO",
"authorized_official_telephone_number": "515-224-4442"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "IA",
"license": "S0140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0256040",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley Lodge Assisted Living",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Valley Lodge Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Correctionville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.