Organization Active NPI

Fox Run Assisted Living

  • Assisted Living Facility
  • Council Bluffs, IA
National Provider Identifier
1821280199
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
S0193 Issued in IA
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

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.