NPIMap

Organization Active NPI

Humboldt Workshop, Inc

  • Custodial Care Facility
  • Humboldt, IA
National Provider Identifier
1841373735
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
HUMBOLDT WORKSHOP, INC
Practice address
21 Taft St N
Humboldt, IA 50548-1768
Phone
(515) 332-2841
Fax
(515) 332-1915
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Joan Marie Kellner
Title
Chief Financial Officer
Phone
(515) 332-2841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X IA Primary

Addresses

Primary practice location

21 Taft St N
Humboldt, IA 50548-1768

Mailing address

21 Taft St N
PO Box 587
Humboldt, IA 50548-1768
Phone (515) 332-2841

Other identifiers 1

IdentifierTypeStateIssuer
0892885MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Humboldt Workshop Inc4 organizations share this tax ID, including this one

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1841373735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TAFT ST N",
            "address_2": "PO BOX 587",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481768",
            "telephone_number": "515-332-2841",
            "fax_number": "515-332-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TAFT ST N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481768",
            "telephone_number": "515-332-2841",
            "fax_number": "515-332-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT WORKSHOP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KELLNER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "515-332-2841",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0892885",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.