Arhc Phctnia01 TRS

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ARHC PHCTNIA01 TRS

Doing business as

Prairie Hills at Clinton

Practice address

1701 13TH Ave N
Clinton, IA 52732-3300

Phone

(563) 243-6870

Fax

(563) 242-0404

NPI assigned

Jan 5, 2020

Last updated

Jan 5, 2020By 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

Kris Trotter

Title

Manager

Phone

(563) 243-6870

Specialties & licenses 1

Addresses

Other names 1

• Prairie Hills at Clinton Doing business as

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

{
    "created_epoch": "1578182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578182400000",
    "number": "1942849112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 13TH AVE N",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527323300",
            "telephone_number": "563-243-6870",
            "fax_number": "563-242-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 13TH AVE N",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527323300",
            "telephone_number": "563-243-6870",
            "fax_number": "563-242-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARHC PHCTNIA01 TRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-05",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A",
        "authorized_official_last_name": "TROTTER",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "563-243-6870"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Hills at Clinton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Erin Aude, LMHC, NCC

• Assisted Living Facility in Clinton, IA
• Providers in Clinton, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.