Organization Active NPI

Char Mac Assisted Living of Holstein

  • Assisted Living Facility
  • Holstein, IA
National Provider Identifier
1891911152
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
S0222 Issued in IA
Legal business name
CHAR MAC ASSISTED LIVING OF HOLSTEIN
Practice address
1500 S Kiel St
Holstein, IA 51025-5081
Phone
(712) 368-4893
Fax
(712) 368-4949
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeanine Chartier
Title
Administrator
Phone
(712) 368-4893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X S0222 IA Primary

Addresses

Primary practice location

1500 S Kiel St
Holstein, IA 51025-5081

Mailing address

1500 S Kiel St
Holstein, IA 51025-5081
Phone (712) 368-4893

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891911152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S KIEL ST",
            "city": "HOLSTEIN",
            "state": "IA",
            "postal_code": "510255081",
            "telephone_number": "712-368-4893",
            "fax_number": "712-368-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S KIEL ST",
            "city": "HOLSTEIN",
            "state": "IA",
            "postal_code": "510255081",
            "telephone_number": "712-368-4893",
            "fax_number": "712-368-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAR MAC ASSISTED LIVING OF HOLSTEIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHARTIER",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "712-368-4893"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holstein, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.