NPIMap

Organization Active NPI

Shirlees Retirement Home Inc

  • Custodial Care Facility
  • Indianola, IA
National Provider Identifier
1932358124
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
910597 Issued in IA
Legal business name
SHIRLEES RETIREMENT HOME INC
Practice address
1302 E 2ND Ave
Indianola, IA 50125-2804
Phone
(515) 961-6673
NPI assigned
Sep 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

Name
Mrs. Shirlee Udene Baker
Title
President
Phone
(515) 961-6673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 910597 IA Primary

Addresses

Primary practice location

1302 E 2ND Ave
Indianola, IA 50125-2804

Mailing address

1302 E 2ND Ave
Indianola, IA 50125-2804
Phone (515) 961-6673

National Provider Directory

National Provider Directory
Tax ID family
Shirlees Retirement Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1302 E 2nd Ave
Indianola, IA 50125
Phone (515) 961-6673

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1932358124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 E 2ND AVE",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252804",
            "telephone_number": "515-961-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 E 2ND AVE",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252804",
            "telephone_number": "515-961-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEES RETIREMENT HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SHIRLEE",
        "authorized_official_middle_name": "UDENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-961-6673",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "IA",
            "license": "910597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.