NPIMap

Organization Active NPI

Hope Haven Cottonwood

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Burlington, IA
National Provider Identifier
1881890788
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
290970 Issued in IA
Legal business name
HOPE HAVEN COTTONWOOD
Practice address
910 Cottonwood CT Ste 1002
Burlington, IA 52601-1994
Phone
(319) 753-6701
Fax
(319) 754-0045
NPI assigned
Jun 26, 2007
Organization subpart
Yes
Parent organization
HOPE HAVEN AREA DEVELOPMENT CENTER CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Authorized official

Name
Ron Christensen
Title
Director of Programs
Phone
(319) 237-1308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 290970 IA Primary

Addresses

Primary practice location

910 Cottonwood CT Ste 1002
Burlington, IA 52601-1994

Mailing address

828 N 7TH St
Burlington, IA 52601-4921
Phone (319) 753-6701

Other names 1

  • Cottonwood Care Facility Other name

National Provider Directory

National Provider Directory
Tax ID family
Hope Haven Area Development Center Corporation14 organizations share this tax ID, including this one
Part of
Hope Haven Area Development Center Corporation

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1881890788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 N 7TH ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526014921",
            "telephone_number": "319-753-6701",
            "fax_number": "319-754-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 COTTONWOOD CT STE 1002",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526011994",
            "telephone_number": "319-753-6701",
            "fax_number": "319-754-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HAVEN COTTONWOOD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOPE HAVEN AREA DEVELOPMENT CENTER CORPORATION",
        "enumeration_date": "2007-06-26",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "DIRECTOR OF PROGRAMS",
        "authorized_official_telephone_number": "319-237-1308"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IA",
            "license": "290970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottonwood Care Facility",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Cottonwood Care Facility",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.