Fountain View Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0172 Issued in IA

Legal business name

FOUNTAIN VIEW ASSISTED LIVING

Practice address

5501 Gordon Dr
Sioux City, IA 51106-2008

Phone

(712) 276-3821

Fax

(712) 202-0410

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Beverly J Zenor, RNBC, MS, NHA

Title

Executive Director

Phone

(712) 276-3821

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992881585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 GORDON DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511062008",
            "telephone_number": "712-276-3821",
            "fax_number": "712-202-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 GORDON DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511062008",
            "telephone_number": "712-276-3821",
            "fax_number": "712-202-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN VIEW ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZENOR",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "712-276-3821",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RNBC, MS, NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION NUMBER",
            "identifier": "S0172",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.