Greenleaf Health Care

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

License

0016 Issued in IA

Legal business name

GREENLEAF HEALTH CARE

Practice address

1305 N 22ND St
Fort Dodge, IA 50501-2117

Phone

(515) 955-4145

NPI assigned

May 5, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Judy A Fowler, RN,NHA

Title

Administration

Phone

(515) 955-4145

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1811945520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N 22ND ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012117",
            "telephone_number": "515-955-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N 22ND ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012117",
            "telephone_number": "515-955-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEAF HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "515-955-4145",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,NHA"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "IA",
            "license": "0016",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "0016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Intermediate Care Facility in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Mental Illness Intermediate Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.