Village Enterprises, Inc.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

05001 Issued in IA

Legal business name

VILLAGE ENTERPRISES, INC.

Practice address

1208 Clark Ave
Ames, IA 50010-5424

Phone

(515) 232-2014

Fax

(515) 232-2014

NPI assigned

Feb 26, 2007

Last updated

Feb 10, 2016By 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. Gayle Higginbotham, LBSW

Title

Director

Phone

(515) 451-9392

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1851427637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 CLARK AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105424",
            "telephone_number": "515-232-2014",
            "fax_number": "515-232-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 CLARK AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105424",
            "telephone_number": "515-232-2014",
            "fax_number": "515-232-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "HIGGINBOTHAM",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "515-451-9392",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LBSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "05001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013391",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Ames, IA
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• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.