Organization Active NPI

Birkwood Village of Tama-Toledo, LLC

  • Assisted Living Facility
  • Toledo, IA
National Provider Identifier
1861258428
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BIRKWOOD VILLAGE OF TAMA-TOLEDO, LLC
Practice address
308 2ND Avenue
Toledo, IA 52342
Phone
(641) 481-7047
Fax
(641) 481-7778
NPI assigned
Feb 22, 2024
Last updated
Feb 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Mr. Mark Holtkamp
Title
Owner
Phone
(319) 594-1062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

308 2ND Avenue
Toledo, IA 52342

Mailing address

308 2ND Avenue
Toledo, IA 52342
Phone (641) 481-7047

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2244577Birkwood Village of Tama/Toledo LLC308 2ND Avenue, Toledo, IA 52342Certificate of waiverDec 1, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1861258428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 2ND AVENUE",
            "city": "TOLEDO",
            "state": "IA",
            "postal_code": "52342",
            "telephone_number": "641-481-7047",
            "fax_number": "641-481-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 2ND AVENUE",
            "city": "TOLEDO",
            "state": "IA",
            "postal_code": "52342",
            "telephone_number": "641-481-7047",
            "fax_number": "641-481-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRKWOOD VILLAGE OF TAMA-TOLEDO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "HOLTKAMP",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-594-1062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.