Active NPI
Fox Run Assisted Living
- Assisted Living Facility
- Council Bluffs, IA
National Provider Identifier
1821280199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- S0193
- Legal business name
- FOX RUN ASSISTED LIVING
- Practice address
- 3121 Macineery Drive
Council Bluffs, IA 51501-8218 - Phone
- (712) 256-2741
- Fax
- (712) 256-7609
- NPI assigned
- Aug 10, 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
- Mrs. Linda Jean Judkins
- Title
- Executive Director
- Phone
- (712) 256-2741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | S0193 | IA | Primary |
Addresses
Primary practice location
3121 Macineery Drive
Council Bluffs, IA 51501-8218
Mailing address
3121 Macineery Dr
Council Bluffs, IA 51501-8218
Phone (712) 256-2741
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1821280199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 MACINEERY DR",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515018218",
"telephone_number": "712-256-2741",
"fax_number": "712-256-7609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 MACINEERY DRIVE",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515018218",
"telephone_number": "712-256-2741",
"fax_number": "712-256-7609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOX RUN ASSISTED LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-10",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "JUDKINS",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "712-256-2741",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "IA",
"license": "S0193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.